Information Collection

NIH HEAL Audience Analysis (OD)

IC 251377 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⚠️ Notice: This information collection may be referencing outdated material.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 HEAL Audience Analysis (OD)	Form
1 NIH HEAL Audience survey NIH HEAL Audience Survey User View 1 26 2022.pdf	Form
NIH HEAL Audience Survey 1 26 2022.docx fast track for NIH HEAL Audience	IC Document
HEAL Email Survey_Qualtrics view 1 26 2022.docx NIH HEAL email	IC Document

IC Title:

NIH HEAL Audience Analysis (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	NIH HEAL Audience survey	NIH HEAL Audience Survey User View 1 26 2022.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,200

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	1,200	1,200
Annual IC Time Burden (Hours)	60	60
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
fast track for NIH HEAL Audience	NIH HEAL Audience Survey 1 26 2022.docx	01/31/2022
NIH HEAL email	HEAL Email Survey_Qualtrics view 1 26 2022.docx	01/31/2022

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