NIH/NIST Health Assessment Measurements Quality Assurance Program (HAMQAP) Participant Feedback Survey (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⚠️ Notice: This information collection may be referencing outdated material.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 NIH/NIST Health Assessment Measurements Quality Assurance Program (HAMQAP) Participant Feedback Survey (OD) Form
1 NIH NIST QAP feedback survey NIH NIST QAP feedback survey_20210729.pdf Form
NIH NIST QAP survey_Invite Email Text_20210729 (3).docx email invite IC Document
NIH NIST QAP survey_Fast Track Template_20210729.docx fast track study NIH/NIST (HAMQAP) Participant Feedback Survey IC Document
NIH NIST QAP survey_Fast Track Template_20210729 (Revised).docx Final Fast Track Template IC Document

Information Collection (IC) Details

IC Title:	NIH/NIST Health Assessment Measurements Quality Assurance Program (HAMQAP) Participant Feedback Survey (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	1	NIH NIST QAP feedback survey	NIH NIST QAP feedback survey_20210729.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 550	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	550	550
Annual IC Time Burden (Hours)	183	183
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
email invite	NIH NIST QAP survey_Invite Email Text_20210729 (3).docx	08/02/2021
fast track study NIH/NIST (HAMQAP) Participant Feedback Survey	NIH NIST QAP survey_Fast Track Template_20210729.docx	08/02/2021
Final Fast Track Template	NIH NIST QAP survey_Fast Track Template_20210729 (Revised).docx	08/03/2021

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