Information Collection

National Institute of Environmental Health Sciences (NIEHS) Training Program Exit Interview

IC 278238 under ICR 202308-0925-001 · OMB 0925-0778.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0778 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NIEHS Fellow Exit Survey National Institute of Environmental Health Sciences (NIEHS) Training Program Exit Interview	Form
1 NIEHS Fellow Exit Survey NIEHS Fellow Exit Survey_PII_Highlighted.pdf	Form
NIEHS Fellow Exit Survey_Training_Satifaction Template.docx NIEHS Fellow Exit Survey_Training_Satisfaction Template	IC Document
E-mail_invite_general NIEHS OFCD.png E-mail_invite_general NIEHS OFCD	IC Document
E-mail_invite Director NIEHS OFCD.png Email_invite Director NIEHS OFCD	IC Document

IC Title:

National Institute of Environmental Health Sciences (NIEHS) Training Program Exit Interview

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				Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title: 09-25-0156 Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service

FR Citation: 67 FR 60742

Number of Respondents: 51

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	51	51
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NIEHS Fellow Exit Survey_Training_Satisfaction Template		11/26/2025
E-mail_invite_general NIEHS OFCD		11/26/2025
Email_invite Director NIEHS OFCD		11/26/2025

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

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