Sickle Cell Psychoeducation Support Group: Interest Survey (NHLBI)

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⚠️ Notice: This information collection may be referencing outdated material.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 Sickle Cell Psychoeducation Support Group: Interest Survey (NHLBI) Form
1 sickle cell interest survey sickle cell interest survey.docx Form
Fast Track Template for Sickle cell interest survey (1).docx fast track study for Sickle Cell Interest survey IC Document

Information Collection (IC) Details

IC Title:	Sickle Cell Psychoeducation Support Group: Interest Survey (NHLBI)	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	sickle cell interest survey	sickle cell interest survey.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
fast track study for Sickle Cell Interest survey	Fast Track Template for Sickle cell interest survey (1).docx	11/08/2022

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