The National Institute of Neurological Disorders and Stroke (NINDS) Town Hall on Racial/Ethnic Equity Post-event Feedback Survey

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⚠️ Notice: This information collection may be referencing outdated material.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 The National Institute of Neurological Disorders and Stroke (NINDS) Town Hall on Racial/Ethnic Equity Post-event Feedback Survey Form
1 townhall post event NINDS Town Hall post event feedback survey.pdf Form
NIH wide fast track for routine customer feedback_NINDS Town Hall.docx Townhall post survey IC Document
Email_post-event feedback survey.docx email IC Document

Information Collection (IC) Details

IC Title:	The National Institute of Neurological Disorders and Stroke (NINDS) Town Hall on Racial/Ethnic Equity Post-event Feedback Survey	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	townhall post event	NINDS Town Hall post event feedback survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 331	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	331	331
Annual IC Time Burden (Hours)	28	28
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Townhall post survey	NIH wide fast track for routine customer feedback_NINDS Town Hall.docx	10/19/2021
email	Email_post-event feedback survey.docx	10/19/2021

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