Customer feedback survey on the National Institute of Neurological Disorders and Stroke (NINDS) response to December 2022 flooding events

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⚠️ Notice: This information collection may be referencing outdated material.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 Customer feedback survey on the National Institute of Neurological Disorders and Stroke (NINDS) response to December 2022 flooding events Form and Instruction
1 Survey PORTER_1.PDF Form and Instruction
Fast Track Template_0925-0648_exp2024_DIR_lessons_learned.docx Template IC Document
DIR_Flood_Survey_Email_for_OMB_final.docx Email correspondence IC Document

Information Collection (IC) Details

IC Title:	Customer feedback survey on the National Institute of Neurological Disorders and Stroke (NINDS) response to December 2022 flooding events	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	PORTER_1.PDF		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 92	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	92	92
Annual IC Time Burden (Hours)	11	11
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Template	Fast Track Template_0925-0648_exp2024_DIR_lessons_learned.docx	06/09/2023
Email correspondence	DIR_Flood_Survey_Email_for_OMB_final.docx	06/09/2023

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