Information Collection

NIDDK Administrative Survey

IC 263034 under ICR 202308-0925-001 · OMB 0925-0778.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NIDDK Administrative Survey	Form
1 Survey NIDDKAdmin survey screenshot.pdf	Form
0925-0778 NIDDK Template Final.docx Template	IC Document
NIDDK Launch Email Final.docx Email Correspondence	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Survey	NIDDKAdmin survey screenshot.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template	0925-0778 NIDDK Template Final.docx	10/30/2023
Email Correspondence	NIDDK Launch Email Final.docx	10/30/2023

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