30813 Q_NHLBI_Browse V2_20211007_DOT

E-Government Website Customer Satisfaction Surveys

Documents and Forms

Document Name Document Type
Form 30813 Q_NHLBI_Brow 30813 Q_NHLBI_Browse V2_20211007_DOT Form and Instruction
30813 Q_NHLBI_Brow 30813 Q_NHLBI_Browse V2_20211007_DOT 30813 Q_NHLBI_Browse V2_20211007_DOT.xlsx Form and Instruction
30813 Q_NHLBI_Brow 30813 Q_NHLBI_Browse V2_20211007_DOT 30813 Q_NHLBI_Browse V2_20211007_DOT.xlsx Form and Instruction
NIH OMB Form 11.13.2018 IA 30813 A0.pdf NIH OMB Form 11.13.2018 IA 30813 A0 IC Document
NIH OMB Form 11.13.2018 IA 30813 A0.pdf NIH OMB Form 11.13.2018 IA 30813 A0 IC Document
1090-0008 Survey Mapping Document (NIH) NHLBI Desktop V2 IA 30813.xlsx 1090-0008 Survey Mapping Document (NIH) NHLBI Desktop V2 IA 30813 IC Document
1090-0008 Survey Mapping Document (NIH) NHLBI Desktop V2 IA 30813.xlsx 1090-0008 Survey Mapping Document (NIH) NHLBI Desktop V2 IA 30813 IC Document

Information Collection (IC) Details

IC Title:	30813 Q_NHLBI_Browse V2_20211007_DOT	Agency IC Tracking Number:	30813 Q_NHLBI_Browse V2_20211007_DOT

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	30813 Q_NHLBI_Browse V2_20211007_DOT	30813 Q_NHLBI_Browse V2_20211007_DOT	30813 Q_NHLBI_Browse V2_20211007_DOT.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,511	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	3,511	3,511
Annual IC Time Burden (Hours)	234	234
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NIH OMB Form 11.13.2018 IA 30813 A0	NIH OMB Form 11.13.2018 IA 30813 A0.pdf	04/12/2022
1090-0008 Survey Mapping Document (NIH) NHLBI Desktop V2 IA 30813	1090-0008 Survey Mapping Document (NIH) NHLBI Desktop V2 IA 30813.xlsx	04/12/2022

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