NIDCR Website Feedback Surveys

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

OMB: 0925-0648

IC ID: 260024

Documents and Forms
Document Name
Document Type
Form
Form
Form
Form
Form
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

NIDCR Website Feedback Surveys
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 In-Page Survey Attachment 1_In-Page Survey_English-Screenshot.docx Yes Yes Fillable Fileable
Form 1 Site-wide Survey Attachment 4_Site-Wide English-Screenshot.docx Yes Yes Fillable Fileable
Form 3 In-Page Survey Spanish Attachment 2_In-Page Spanish-Screenshot.docx Yes Yes Fillable Fileable
Form 4 Site-wide Survey Spanish Attachment 3_Site-Wide Spanish-Screenshot.docx Yes Yes Fillable Fileable

Health Health Care Services

 

40,000 0
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 40,000 0 0 0 0 40,000
Annual IC Time Burden (Hours) 1,000 0 0 0 0 1,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Template Template NIDCR_Website Surveys_0925-0648-5.4.23update.docx 05/04/2023
English Questions Attachment 5_English Questions.docx 05/04/2023
Spanish Questions Attachment 6_Spanish Questions.docx 05/04/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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