4th Annual NIH HEAL Initiative Investigator Meeting Assessment Form (OD)

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⚠️ Notice: This information collection may be referencing outdated material.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 4th Annual NIH HEAL Initiative Investigator Meeting Assessment Form (OD) Form
1 Assessment screenshot Assessment Form Screenshots 2.21.23.pdf Form
0925-0648 Template HEAL PI Meeting Feedback 2.14.23.docx fast track for 2023 Annual HEAL Investigators Meeting Assessment IC Document
Invitation for HEAL PI Meeting Assessment 2.14.23.docx invitation for HEAL PI Meeting Assessment IC Document

Information Collection (IC) Details

IC Title:	4th Annual NIH HEAL Initiative Investigator Meeting Assessment Form (OD)	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	Assessment screenshot	Assessment Form Screenshots 2.21.23.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 900	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	900	900
Annual IC Time Burden (Hours)	450	450
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
fast track for 2023 Annual HEAL Investigators Meeting Assessment	0925-0648 Template HEAL PI Meeting Feedback 2.14.23.docx	02/16/2023
invitation for HEAL PI Meeting Assessment	Invitation for HEAL PI Meeting Assessment 2.14.23.docx	02/16/2023

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