Rockledge I/II Phase 3 & 4 Post-Move Survey (ORS/OD)

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⚠️ Notice: This information collection may be referencing outdated material.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 Rockledge I/II Phase 3 & 4 Post-Move Survey (ORS/OD) Form and Instruction
1 PostMove screenshot 07262021-RKL Ph3 4-Post-Move Survey-Screen Captures (4).docx Form and Instruction
07262021-M. Willis-Email-RKL Ph3-4-Post-Move Survey.docx email IC Document
07262021-M. Willis-Request-RKL_Ph3-4-Post-Move Survey.docx Rockledge I/II Phase 3 & 4 Post-Move Survey IC Document

Information Collection (IC) Details

IC Title:	Rockledge I/II Phase 3 & 4 Post-Move Survey (ORS/OD)	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	PostMove screenshot	07262021-RKL Ph3 4-Post-Move Survey-Screen Captures (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: 1,000	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	1,000	1,000
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
email	07262021-M. Willis-Email-RKL Ph3-4-Post-Move Survey.docx	08/02/2021
Rockledge I/II Phase 3 & 4 Post-Move Survey	07262021-M. Willis-Request-RKL_Ph3-4-Post-Move Survey.docx	08/02/2021

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