NIH Sexual & Gender Minority (SGM) Health Summer Intensive Series- Customer Feedback: Sessions 1 - 6 (NHGRI)

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⚠️ Notice: This information collection may be referencing outdated material.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 NIH Sexual & Gender Minority (SGM) Health Summer Intensive Series- Customer Feedback: Sessions 1 - 6 (NHGRI) Form and Instruction
1 Survey 2023 NIH SGM SIS Customer Feedback_Sessions 1-6.pdf Form and Instruction
Template 2023 Fast Track_NIH SGM Health Summer Intensive Series Sessions 1-6_Customer Feedback.docx Template IC Document
Email - Post Sessions 1-6.docx Email communication IC Document

Information Collection (IC) Details

IC Title:	NIH Sexual & Gender Minority (SGM) Health Summer Intensive Series- Customer Feedback: Sessions 1 - 6 (NHGRI)	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	2023 NIH SGM SIS Customer Feedback_Sessions 1-6.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	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)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Template	Template 2023 Fast Track_NIH SGM Health Summer Intensive Series Sessions 1-6_Customer Feedback.docx	05/24/2023
Email communication	Email - Post Sessions 1-6.docx	05/24/2023

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