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Survey of NIDA Email Subscribers on Experiences with National Drug and Alcohol Facts Week® Resources (NIDA)
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)
OMB: 0925-0648
IC ID: 243897
OMB.report
HHS/NIH
OMB 0925-0648
ICR 202104-0925-001
IC 243897
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:
2024-06-25 - Extension without change of a currently approved collection
2023-08-25 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Survey of NIDA Email Subscribers on Experiences with National Drug and Alcohol Facts Week® Resources (NIDA)
Form and Instruction
1 Non-Participant
AllPossibleQuestions_Non-Participant_10012020.pdf
Form and Instruction
1 Non-Participant
AllPossibleQuestions_Non-Participant_10012020.pdf
Form and Instruction
2 Participant
AllPossibleQuestions_Participant_10012020.pdf
Form and Instruction
2 Participant
AllPossibleQuestions_Participant_10012020.pdf
Form and Instruction
Fast Track Template_NDAFW surveys_Final_Updated (1).docx
Fast track template NDAFW survey
IC Document
Fast Track Template_NDAFW surveys_Final_Updated (1).docx
Fast track template NDAFW survey
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Survey of NIDA Email Subscribers on Experiences with National Drug and Alcohol Facts Week® Resources (NIDA)
Agency IC Tracking Number:
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
1
Non-Participant
AllPossibleQuestions_Non-Participant_10012020.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
2
Participant
AllPossibleQuestions_Participant_10012020.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
828
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
828
0
0
0
0
828
Annual IC Time Burden (Hours)
138
0
0
0
0
138
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Fast track template NDAFW survey
Fast Track Template_NDAFW surveys_Final_Updated (1).docx
10/06/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.