Information Collection

ORIP P40 Resource Center User Survey (OD) Private Sector

IC 259534 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⚠️ Notice: This information collection may be referencing outdated material.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 ORIP P40 Resource Center User Survey (OD) Private Sector	Form and Instruction
1 Survey ORIP_P40 Customer Survey_Final_.pdf	Form and Instruction
Template_ORIP Resouce Center User Survey.docx Template	IC Document
ORIP_P40 User Survey Outreach Communication.docx Outreach Communications	IC Document

IC Title:

ORIP P40 Resource Center User Survey (OD) Private Sector

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 and Instruction	1	Survey	ORIP_P40 Customer Survey_Final_.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template	Template_ORIP Resouce Center User Survey.docx	04/06/2023
Outreach Communications	ORIP_P40 User Survey Outreach Communication.docx	04/11/2023

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