Principles of Pediatric Clinical Pharmacology and Therapeutics Course – Continuing Medical Education Customer Satisfaction Questionnaire (NICHD)

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⚠️ Notice: This information collection may be referencing outdated material.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 Principles of Pediatric Clinical Pharmacology and Therapeutics Course – Continuing Medical Education Customer Satisfaction Questionnaire (NICHD) Form and Instruction
1 Survey 0925-0648_Substudy_NICHD_Ped Clin CME Survey 2022-23_Survey.pdf Form and Instruction
0925-0648_Substudy_NICHD_Ped ClincCME Survey 2022-23.docx Template IC Document
0925-0648_Substudy_NICHD_Ped Clin CME Survey 2022-23_Email Solicitation.docx Email correspondence IC Document

Information Collection (IC) Details

IC Title:	Principles of Pediatric Clinical Pharmacology and Therapeutics Course – Continuing Medical Education Customer Satisfaction Questionnaire (NICHD)	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	0925-0648_Substudy_NICHD_Ped Clin CME Survey 2022-23_Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title: Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service	FR Citation: 83 FR 6591

Number of Respondents: 22	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	22	22
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Template	0925-0648_Substudy_NICHD_Ped ClincCME Survey 2022-23.docx	06/26/2023
Email correspondence	0925-0648_Substudy_NICHD_Ped Clin CME Survey 2022-23_Email Solicitation.docx	06/26/2023

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