NIH OAR and NIMH HIV-Related Intersectional Stigma (HIVIS) Workshop Participant Satisfaction Survey (NIMH)

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Document Name Document Type
Form 1 NIH OAR and NIMH HIV-Related Intersectional Stigma (HIVIS) Workshop Participant Satisfaction Survey (NIMH) Form
1 HIVIS Workshop Participant Satisfaction Survey NIH OAR and NIMH HIVIS Workshop Participant Satisfaction Survey v3 - Revised_20201009.docx Form
1 HIVIS Workshop Participant Satisfaction Survey NIH OAR and NIMH HIVIS Workshop Participant Satisfaction Survey v3 - Revised_20201009.docx Form
NIH Generic 0648 Template_NIH OAR NIMH Virtual Workshop Feedback Survey (1) (3).docx fast track NIH OAR and NIMG HIVIS Workshop Participant Satisfaction IC Document
NIH Generic 0648 Template_NIH OAR NIMH Virtual Workshop Feedback Survey (1) (3).docx fast track NIH OAR and NIMG HIVIS Workshop Participant Satisfaction IC Document

Information Collection (IC) Details

IC Title:	NIH OAR and NIMH HIV-Related Intersectional Stigma (HIVIS) Workshop Participant Satisfaction Survey (NIMH)	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	1	HIVIS Workshop Participant Satisfaction Survey	NIH OAR and NIMH HIVIS Workshop Participant Satisfaction Survey v3 - Revised_20201009.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
fast track NIH OAR and NIMG HIVIS Workshop Participant Satisfaction	NIH Generic 0648 Template_NIH OAR NIMH Virtual Workshop Feedback Survey (1) (3).docx	10/14/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.