NINDS Feedback Survey of the NIH StrokeNet (NINDS)

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⚠️ Notice: This information collection may be referencing outdated material.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 NINDS Feedback Survey of the NIH StrokeNet (NINDS) Form and Instruction
1 NINDS StrokeNet Survey Questions NINDS NIH StrokeNet Survey Questions.pdf Form and Instruction
NINDS Fast Track Form_NIH StrokeNet Survey_FINAL (1).docx NINDS Feedback Survey of the NIH StrokeNet IC Document
NINDS NIH StrokeNet Survey Emails.pdf email invite IC Document

Information Collection (IC) Details

IC Title:	NINDS Feedback Survey of the NIH StrokeNet (NINDS)	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	NINDS StrokeNet Survey Questions	NINDS NIH StrokeNet Survey Questions.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,090	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	1,090	1,090
Annual IC Time Burden (Hours)	363	363
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NINDS Feedback Survey of the NIH StrokeNet	NINDS Fast Track Form_NIH StrokeNet Survey_FINAL (1).docx	08/12/2021
email invite	NINDS NIH StrokeNet Survey Emails.pdf	08/12/2021

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