Information Collection

Survey to inform NIMH Strategic Planning for the Division of Intramural Research Programs (IRP) (NIMH)

IC 255258 under ICR 202301-0925-002 · OMB 0925-0766.

⚠️ Notice: This information collection may be referencing outdated material.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

2023-07-31 - Extension without change of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Survey to inform NIMH Strategic Planning for the Division of Intramural Research Programs (IRP) (NIMH)	Form
Form 1 Survey to inform NIMH Strategic Planning for the Division of Intramural Research Programs (IRP) (NIMH)	Form
1 IRP Strategic Planning Survey NIMH IRP Strategic Planning Survey_08.08.22.pdf	Form
1 IRP Strategic Planning Survey NIMH IRP Strategic Planning Survey_08.08.22.pdf	Form
0925-0766_Mini SSA for NIMH IRP Strategic Planning Survey_08.08.22.docx Mini SSA for IRP Strategic Planning Survey	IC Document
0925-0766_Mini SSA for NIMH IRP Strategic Planning Survey_08.08.22.docx Mini SSA for IRP Strategic Planning Survey	IC Document
NIH OD SurveyMonkey PIA (1).docx PIA	IC Document
NIH OD SurveyMonkey PIA (1).docx PIA	IC Document
0925-0766_Draft Email to Staff for NIMH IRP Strategic Planning Survey_08.08.22.docx draft email	IC Document
0925-0766_Draft Email to Staff for NIMH IRP Strategic Planning Survey_08.08.22.docx draft email	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Survey to inform NIMH Strategic Planning for the Division of Intramural Research Programs (IRP) (NIMH)

Agency IC Tracking Number:

IC Status: Unchanged

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	1	IRP Strategic Planning Survey	NIMH IRP Strategic Planning Survey_08.08.22.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: #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: 600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mini SSA for IRP Strategic Planning Survey	0925-0766_Mini SSA for NIMH IRP Strategic Planning Survey_08.08.22.docx	08/10/2022
PIA	NIH OD SurveyMonkey PIA (1).docx	08/10/2022
draft email	0925-0766_Draft Email to Staff for NIMH IRP Strategic Planning Survey_08.08.22.docx	08/10/2022

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