NINR Public Website Feedback 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⚠️ Notice: This information collection may be referencing outdated material.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 NINR Public Website Feedback Survey Form
1 Public Website Feedback survey instrument NINR Public Website Feedback Survey Instrument.pdf Form
NINR Public Website Feedback Survey Clearance Request PRACS (2).docx fast track template for NINR Public website survey IC Document
Recruitment Flyer.png recruitment flyer IC Document

Information Collection (IC) Details

IC Title:	NINR Public Website Feedback 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	Public Website Feedback survey instrument	NINR Public Website Feedback Survey Instrument.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	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	300	300
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
fast track template for NINR Public website survey	NINR Public Website Feedback Survey Clearance Request PRACS (2).docx	03/13/2023
recruitment flyer	Recruitment Flyer.png	03/13/2023

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