Collection of Participant Feedback for the virtual Mary Frances Picciano Dietary Supplement Research Practicum (DSRP) on May 22–24, 2023 (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⚠️ Notice: This information collection may be referencing outdated material.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 Collection of Participant Feedback for the virtual Mary Frances Picciano Dietary Supplement Research Practicum (DSRP) on May 22–24, 2023 (OD) Form and Instruction
1 Survey Practicum_FeedbackSurvey_5-4-2023.docx Form and Instruction
0925-0648_exp.6.2024_ODS_PracticumFeedback_5-8-2023 (002).docx Template IC Document
NIH_Practicum_SurveyInviteEmailText_5-8-2023.docx Email IC Document

Information Collection (IC) Details

IC Title:	Collection of Participant Feedback for the virtual Mary Frances Picciano Dietary Supplement Research Practicum (DSRP) on May 22–24, 2023 (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 and Instruction	1	Survey	Practicum_FeedbackSurvey_5-4-2023.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 730	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 %

	Requested	Previously Approved
Annual Number of Responses for this IC	730	730
Annual IC Time Burden (Hours)	61	61
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Template	0925-0648_exp.6.2024_ODS_PracticumFeedback_5-8-2023 (002).docx	05/08/2023
Email	NIH_Practicum_SurveyInviteEmailText_5-8-2023.docx	05/08/2023

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