Information Collection

NINR Public Website Feedback Survey

IC 259117 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⚠️ Notice: This information collection may be referencing outdated material.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 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

IC Title:

NINR Public Website Feedback Survey

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	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 %

table that charts list of burden
	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

table that charts IC Documents
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.