2022 NIEHS CFC Survey

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⚠️ Notice: This information collection may be referencing outdated material.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 2022 NIEHS CFC Survey Form
1 CFC survey 2022 Combined Federal Campaign Survey.docx Form
0925-0648 CFC Survey 09FEB2023 (1).docx fast track for CFC 2022 Survey IC Document
CFC All Hands Message Jan 25 2023 (1).docx email invitation IC Document

Information Collection (IC) Details

IC Title:	2022 NIEHS CFC Survey	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	CFC survey	2022 Combined Federal Campaign Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: 09-25-0156 Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service, HHS/PHS/NIH/OD	FR Citation: 67 FR 67042

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
fast track for CFC 2022 Survey	0925-0648 CFC Survey 09FEB2023 (1).docx	02/10/2023
email invitation	CFC All Hands Message Jan 25 2023 (1).docx	02/10/2023

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