Information Collection

NIH Food Service Survey (ORS/OD)

IC 254499 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⚠️ Notice: This information collection may be referencing outdated material.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 Food Service Survey (ORS/OD)	Form and Instruction
1 survey screenshot NIH Food Service Survey Screenshots.docx	Form and Instruction
NIH Food Service Survey PRA Request for Approval_6.23.22.docx fast track for Food Service survey	IC Document
NIH Food Service Survey_additional doc_6.23.22.docx instructions	IC Document

IC Title:

NIH Food Service Survey (ORS/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 and Instruction	1	survey screenshot	NIH Food Service Survey Screenshots.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 45,000

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	45,000	45,000
Annual IC Time Burden (Hours)	3,750	3,750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
fast track for Food Service survey	NIH Food Service Survey PRA Request for Approval_6.23.22.docx	07/05/2022
instructions	NIH Food Service Survey_additional doc_6.23.22.docx	07/05/2022

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