Information Collection

Intramural Research Program Office of Fellowship Training (OFT) Annual Trainee Survey (NIMH)

IC 254371 under ICR 202109-0925-004 · OMB 0925-0766.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0766 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 OFT Trainee survey Intramural Research Program Office of Fellowship Training (OFT) Annual Trainee Survey (NIMH)	Form and Instruction
1 OFT Trainee survey OFT Annual Trainee Survey 2022_Updated 08.01.22_v2 (003).pdf	Form and Instruction
0925-0766_Mini SSA for OFT Survey_06.22.22.docx Mini SSA for OFT Survey	IC Document
DRAFT EMAIL TO NIMH TRAINEES ABOUT ANNUAL SURVEY.docx draft email invite	IC Document
NIH OD SurveyMonkey PIA.docx PIA	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Intramural Research Program Office of Fellowship Training (OFT) Annual Trainee Survey (NIMH)

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1				Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: #09-25-0156, âRecords of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service (PHS), HHS/PHS/NIH/OD,

FR Citation: 67 FR 60742

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
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

table that charts IC Documents
Title	Document	Date Uploaded
Mini SSA for OFT Survey		06/23/2022
draft email invite		06/23/2022
PIA		06/23/2022

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

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