Information Collection

NIH Scientific Workshop on Violence and Related Health Outcomes in Sexual & Gender Minority Communities – Customer Feedback (SGMRO/OD)

IC 248903 under ICR 202307-0925-002 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NIH Scientific Workshop on Violence and Related Health Outcomes in Sexual & Gender Minority Communities – Customer Feedback (SGMRO/OD)	Form
1 Scientific Workshop on Violence Assessment NIH Scientific Workshop on Violence Participant Satisfaction Assessment.pdf	Form
2021 Fast Track_SGMRO_NIH Scientific Workshop on Violence Customer Feedback_Final.docx fast track NIH Scientific Workshop on Violence and Related Health Outcomes in Sexual & Gender Minority Communities – Customer Fe	IC Document
email_assessment completion request.docx email	IC Document

IC Title:

NIH Scientific Workshop on Violence and Related Health Outcomes in Sexual & Gender Minority Communities â Customer Feedback (SGMRO/OD)

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	Scientific Workshop on Violence Assessment	NIH Scientific Workshop on Violence Participant Satisfaction Assessment.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 120

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	120	120
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
fast track NIH Scientific Workshop on Violence and Related Health Outcomes in Sexual & Gender Minority Communities â Customer Feedback	2021 Fast Track_SGMRO_NIH Scientific Workshop on Violence Customer Feedback_Final.docx	08/16/2021
email	email_assessment completion request.docx	08/16/2021

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