Global Forum on Humanitarian Health Research (GFH2R) Feedback Survey (FIC)

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⚠️ Notice: This information collection may be referencing outdated material.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 Global Forum on Humanitarian Health Research (GFH2R) Feedback Survey (FIC) Form
1 GFH2R feedback survey Global Forum on Humanitarian Health Research (GFH2R) Feedback Survey (Preview).pdf Form
2021 Approved Fast Track Template - Global Forum on Humanitarian Health Research Nov 2021.docx fast track for GFH2R feedback survey IC Document
Email to GFH2R Participants - Feedback Survey.docx recruitment email IC Document

Information Collection (IC) Details

IC Title:	Global Forum on Humanitarian Health Research (GFH2R) Feedback Survey (FIC)	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	GFH2R feedback survey	Global Forum on Humanitarian Health Research (GFH2R) Feedback Survey (Preview).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 130	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	130	130
Annual IC Time Burden (Hours)	22	22
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
fast track for GFH2R feedback survey	2021 Approved Fast Track Template - Global Forum on Humanitarian Health Research Nov 2021.docx	11/15/2021
recruitment email	Email to GFH2R Participants - Feedback Survey.docx	11/15/2021

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