Information Collection

CIRB Customer Satisfaction survey (Attachment C4)

IC 225922 under ICR 202402-0925-001 · OMB 0925-0753.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0753 can be found here:

Documents and Forms

Document Name Document Type
Form 65 CIRB Customer Satisfaction survey (Attachment C4) Form
65 CIRB Satisfaction survey Attachment_C04_CIRB_Customer Satisfaction_Survey_11-20-17.pdf Form
65 CIRB Satisfaction survey Attachment_C04_CIRB_Customer Satisfaction_Survey_11-20-17.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CIRB Customer Satisfaction survey (Attachment C4)	Agency IC Tracking Number:

Is this a Common Form? No		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	65	CIRB Satisfaction survey	Attachment_C04_CIRB_Customer Satisfaction_Survey_11-20-17.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: Clinical Basic and Population-based Research Studies of the National Institutes of Health	FR Citation: 67 FR 60742

Number of Respondents: 600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	600	600
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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