Stakeholder Feedback Survey on PATH Study (NIDA)

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⚠️ Notice: This information collection may be referencing outdated material.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 Stakeholder Feedback Survey on PATH Study (NIDA) Form and Instruction
1 PATH Stakeholder Feedback survey screenshot Survey Screenshots_PATH Stakeholder Feedback _3.17.2021 (4).docx Form and Instruction
1 PATH Stakeholder Feedback survey screenshot Survey Screenshots_PATH Stakeholder Feedback _3.17.2021 (4).docx Form and Instruction
email re Dissemination Plan_PATH Stakeholder_2021.02.09 (003) (1).docx emails IC Document
email re Dissemination Plan_PATH Stakeholder_2021.02.09 (003) (1).docx emails IC Document
Generic Fast Track Request_PATH Stakeholder Feedback_2021.02.09.docx fast track study for PATH Study feedback IC Document
Generic Fast Track Request_PATH Stakeholder Feedback_2021.02.09.docx fast track study for PATH Study feedback IC Document

Information Collection (IC) Details

IC Title:	Stakeholder Feedback Survey on PATH Study (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	PATH Stakeholder Feedback survey screenshot	Survey Screenshots_PATH Stakeholder Feedback _3.17.2021 (4).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 450	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	450	450
Annual IC Time Burden (Hours)	113	113
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
emails	email re Dissemination Plan_PATH Stakeholder_2021.02.09 (003) (1).docx	03/18/2021
fast track study for PATH Study feedback	Generic Fast Track Request_PATH Stakeholder Feedback_2021.02.09.docx	03/18/2021

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