Information Collection

NIH ODP Pathways to Prevention Post-Workshop Survey V (OD)

IC 254633 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⚠️ Notice: This information collection may be referencing outdated material.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 ODP Pathways to Prevention Post-Workshop Survey V (OD)	Form
1 P2P Day 1 survey P2P Workshop Day 1.pdf	Form
2 P2P day 2 survey P2P workshop Day 2.pdf	Form
3 P2P day 3 survey P2P Workshop Day 3.pdf	Form
Fast Track Template_ODP Pathways to Prevention Post-Workshop Survey V_revised.docx fast track P2P Post Workshop feedback	IC Document

IC Title:

NIH ODP Pathways to Prevention Post-Workshop Survey V (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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	P2P Day 1 survey	P2P Workshop Day 1.pdf	Yes	Yes	Fillable Fileable
Form	2	P2P day 2 survey	P2P workshop Day 2.pdf	Yes	Yes	Fillable Fileable
Form	3	P2P day 3 survey	P2P Workshop Day 3.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 600

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	600	600
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
fast track P2P Post Workshop feedback	Fast Track Template_ODP Pathways to Prevention Post-Workshop Survey V_revised.docx	07/13/2022

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