Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1 Survey	Form	New	Repair queued
Form Survey 1	Form and Instruction	New	Repair queued
Form Survey 1	Form and Instruction	New	Repair queued
Form Survey 1	Form and Instruction	New	Repair queued
Form 1 Assessment	Form	New	Repair queued
Form Survey 1	Form and Instruction	New	Repair queued
Form Survey 1	Form and Instruction	New	Repair queued
Form Survey 1	Form and Instruction	New	Repair queued
Form Survey 1	Form and Instruction	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form Survey 1	Form and Instruction	New	Repair queued
Form Survey 1	Form and Instruction	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form Survey 1	Form and Instruction	New	Repair queued
Form Survey 1	Form and Instruction	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 2 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 2 Survey	Form and Instruction	New	Repair queued
Form 1 Survey	Form and Instruction	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Questionnaire	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 3 Survey	Form	New	Repair queued
Form 2 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form and Instruction	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Poll	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Feedback Survey	Form	New	Repair queued
Form 1 Poll	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Assessment	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 2 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 2 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Questionnaire	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Form	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Repair queued
Form 1 Survey	Form	New	Available
Form 1 Survey	Form	New	Available
Form 1 Survey	Form	New	Repair queued
30day notice 0648.pdf	Supplementary Document	Uploaded 2024-06-25	Repair queued
Final 0925-0648 Template exp.tbd.docx	Supplementary Document	Uploaded 2024-06-24	Available
2024 ext SSA Generic NIHWide Fast Track.docx	Supporting Statement A	Uploaded 2024-06-24	Repair queued
2024 SSB_0925-0648_NIH Wide Fast Track Extension.docx	Supporting Statement B	Uploaded 2024-06-24	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
282550	CDE Repository User Survey (NLM)	Form	New	Survey
282379	NIH NCATS Clinical and Translational Science Awards (CTSA) Coordination, Communication, Operations, and Support (CCOS) Center Annual Feedback Survey of CTSA Members	Form and Instruction	New	1
282353	NIBIB OAM Customer Feedback Survey	Form and Instruction	New	1
281955	LocatorPlus Catalog Redesign Feedback Survey (NLM)	Form and Instruction	New	1
281492	2026 Health Disparities Research Institute (HDRI) Course Assessment (NIMHD)	Form	New	Assessment
281287	Office of Research Services (ORS) Office of Innovation and Information Technology (OIIT) Satisfaction Survey (OD)	Form and Instruction	New	1
281282	Office of Research Services (ORS) Division of Administrative Services (DAS) Satisfaction Survey (OD)	Form and Instruction	New	1
281252	Division of Cancer Control and Population Sciences Fellows Feedback Survey (NCI)	Form and Instruction	New	1
280938	Statistics Tutorial Satisfaction Survey (NCI)	Form and Instruction	New	1
280889	Reviewer Feedback on the Center for Scientific Review's (CSR) 2026 Integrity in Peer Review Training	Form	New	Survey
280645	Pathways for Future Oncologists Satisfaction Survey (NCI)	Form and Instruction	New	1
280644	Whole Person Health Satisfaction Survey (NCI)	Form and Instruction	New	1
280631	K Grant Writing Workshop Satisfaction Survey (NCI)	Form	New	Survey
280569	2026 Department of Laboratory Medicine (DLM) Services Stakeholder Perception Survey	Form	New	Survey
280495	Post-Meeting Survey for the 2026 Early Career Researcher Event for the Brain Research Through Advancing Innovative Neurotechnologies (BRAIN) Initiative Conference	Form and Instruction	New	1
280494	Strategic Networking Workshop Satisfaction Survey	Form and Instruction	New	1
280446	NIH Behavioral and Social Sciences Early Career Workshop Survey	Form	New	Survey
280404	Division of Personnel Security (DPS) Office of the Director (OD) Customer Satisfaction Surveys	Form	New	Survey
280404	Division of Personnel Security (DPS) Office of the Director (OD) Customer Satisfaction Surveys	Form	New	Survey
280015	2026 NIDDK K Awardee Post Workshop Feedback Survey	Form	New	Survey
279999	Evidence-Based Cancer Control Programs (EBCCP) Submission Process Evaluation & Satisfaction Survey (NCI)	Form	New	Survey
279854	Nanotechnology Characterization Lab (NCL) Assay Cascade Collaboration Satisfaction Survey (NCI)	Form	New	Survey
279838	NCI / DCEG Human Microbiome and Cancer Epidemiology Short Course Pre and Post Surveys	Form and Instruction	New	Survey
279838	NCI / DCEG Human Microbiome and Cancer Epidemiology Short Course Pre and Post Surveys	Form and Instruction	New	Survey
279833	Feedback form for the 2026 Brain Research Through Advancing Innovative Neurotechnologies® (BRAIN) Initiative Conference	Form	New	Survey
279833	Feedback form for the 2026 Brain Research Through Advancing Innovative Neurotechnologies® (BRAIN) Initiative Conference	Other-Dropdown Options	New
279792	Evidence-Based Cancer Control Programs (EBCCP) Bulletin Feature Questionnaire (NCI)	Form	New	Questionnaire
279759	Posit Community of Practice Baseline Survey (CIT)	Form	New	Survey
279758	NIH ODP Pathways to Prevention (P2P) Post-Workshop Participant Survey	Form	New	Survey
279758	NIH ODP Pathways to Prevention (P2P) Post-Workshop Participant Survey	Form	New	Survey
279758	NIH ODP Pathways to Prevention (P2P) Post-Workshop Participant Survey	Form	New	Survey
279714	TOC Customer Satisfaction Survey (CIT)	Form	New	Survey
279695	"Science-Based Non-Academic Careers (SNAC)" Satisfaction Survey (NCI)	Form	New	Survey
279652	NIH NIA Director's Regional Meeting	Form	New	Survey
279609	Dataset Catalog User Experience Survey (NLM)	Form and Instruction	New	Survey
279584	NIH CIT OSCS All-Hands Meeting Feedback Survey	Form	New	Survey
279542	Biowulf 2026 User Experience Survey" – A Customer Satisfaction Survey for the Biowulf Service at the Center for Information Technology	Form	New	Survey
279095	NIH Genetic and Rare Disease (GARD) Information Center's Website On-Page Feedback Survey (NCATS)	Form	New	Survey
278886	Feedback on the Center for Scientific Reviews' Lunch and Learn Seminar Series: Communicating Through Change & Transition-Finding Clarity, Connection, & Opportunity in Uncertain Times	Form	New	Survey
278404	Reviewer Feedback on the Quality of Review at the NIH Center for Scientific Review	Form	New	Survey
278315	NIH Clinical Center 2025 CRIS User Satisfaction Survey)	Form	New	Survey
278236	Impact of Engagement with NLM Historical Collection: Feedback Survey	Form	New	Survey
277148	NIH Exec Sec Feedback Survey for ICO Liaisons and Reviewers	Form	New	Survey
276133	Polling questions for the 2025 PEGS Participant Advisory Board (PAB) Meeting (NIEHS)	Form	New	Poll
276133	Polling questions for the 2025 PEGS Participant Advisory Board (PAB) Meeting (NIEHS)	Other-Screenshots	New
275513	Feedback on the Center for Scientific Reviews' (CSR) Mitigating Unfairness in Peer Review Online Training	Form	New	Survey
275109	Meeting Attendee Feedback Form for the ABCD Insights and Innovations Meeting (AIIM): NIDA	Form	New	Feedback Survey
273899	Polling questions for the 2025 PEGS Town Hall: Putting Exposures on the Map	Form	New	Poll
273814	PMC Beta Search Feedback Survey	Form	New	Survey
273277	NIDDK Webpage Content Survey	Form	New	Survey
273093	NIBIB Website Feedback Survey	Form	New	Survey
273080	Customer Satisfaction Survey for the Biowulf Service at the Center for Information Technology	Form	New	Survey
272952	Office of Laboratory Animal Welfare (OLAW) Conversations 12_2024-12_2026 (Customer Feedback)	Form	New	Survey
272880	UMLS Annual Report - 2024	Form	New	Survey
272847	NIEHS Worker Training Program's (WTP) Fall 2024 Technical Workshop Assessment Questions	Form	New	Survey
272767	NIH Re-Entry Supplement Program Feedback Survey	Form	New	Survey
272731	NIEHS Worker Training Program's (WTP) Fall 2024 Award Recipient Meeting Assessment Questions	Form	New	Assessment
272646	Building Interdisciplinary Research Careers in Women's Health (BIRCWH) 25th Year Assessment	Form	New	Survey
272505	NIH, National Institute on Aging, Director's Regional Meeting	Form	New	Survey
272430	Feedback on the Center for Scientific Reviews' Special Observance Events	Form	New	Survey
272315	Office of Research Services (ORS) Contractor Survey	Form	New	Survey
272294	DIS Customer Survey 2024	Form	New	Survey
272294	DIS Customer Survey 2024	Form	New	Survey
272176	NIDA Website User Feedback Survey	Form	New	Survey
271931	OPR Recruitment Strategies Assessment	Form	New	Survey
271792	Building Fast Healthcare Interoperability Resources (FHIR) Research Capacity	Form	New	Survey
271792	Building Fast Healthcare Interoperability Resources (FHIR) Research Capacity	Form	New	Survey
271617	AI Pre-Workshop Questionnaire (NIDDK)	Form	New	Questionnaire
271550	NCATS OAM Customer Feedback Survey	Form	New	Survey
271544	NIDA Geospatial Data Science Post Workshop Feedback Survey	Form	New	Survey
271448	The COSWD Scientific Workforce Diversity Seminar Series (SWDSS) Feedback Survey	Form	New	Survey
271399	NCBI Basic Local Alignment Search Tool (BLAST®) Questionnaire Fall 2024	Form	New	Survey
271362	NIH Public Access Compliance Monitoring Survey	Form	New	Survey
271330	NIH Training Center Class Feedback	Form	New	Form
271302	Center for Information Technology – Internal Customer Experience Net Promoter Score (NPS) Survey	Form	New	Survey
271298	2024 National Institutes of Health (NIH) Office of Equity, Diversity, and Inclusion (EDI) Forum Attendee Survey	Form	New	Survey
271249	Database of Genotypes and Phenotypes (dbGaP) Submission Survey FY25	Form	New	Survey
271144	EARA Pilot Pre-Program Faculty Survey	Form	New	Survey
270978	Introductory Pain Course – Survey to Determine Topics of Interest	Form	New	Survey
270948	2024 Health Disparities Research Institute (HDRI) Course Assessment (NIMHD)	Form	New	Survey
270943	Eunice Kennedy Shriver National Institute of Child Health and Human Development Fellowship and Career Development Series Post-Event Survey (NICHD)	Form	New	Survey
270943	Eunice Kennedy Shriver National Institute of Child Health and Human Development Fellowship and Career Development Series Post-Event Survey (NICHD)	Other-Burden Statement	New
270837	GenBank Record Survey 2024 (NLM)	Form	New	Survey
270811	NCATS Recognition Dashboard	Form	New	Survey
270809	2024-25 Principles of Pediatric Clinical Pharmacology Course – Webinar Feedback Satisfaction Questionnaire (NICHD)	Form	New	Survey
270364	NLM Sitewide Survey for Website Satisfaction (2024)	Form	New	Survey
270364	NLM Sitewide Survey for Website Satisfaction (2024)	Other-PopUp	New
270324	2024 Meeting of Clinical Pharmacology Trainees Post-Meeting Assessment (NICHD)	Form	New	Survey
270005	2024 Clinical Pharmacology Training Network (CPTN) Virtual Trainee/Scholar Orientation Post-Meeting Assessment (NICHD)	Form	New	Survey
269860	Meeting Attendee Feedback Form for the ABCD Insights and Innovations Meeting (AIIM): NIDA	Form	New	Survey
269787	NCCIH Fellows and Trainees Workshop Feedback Survey	Form	New	Survey

ICR Details

OMB Control No: 0925-0648	ICR Reference No: 202406-0925-001
Status: Active	Previous ICR Reference No: 202103-0925-003
Agency/Subagency: HHS/NIH	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/29/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/25/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2027	36 Months From Approved	07/31/2024
Responses	1,434,000	0	1,059,000
Time Burden (Hours)	309,249	0	147,999
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is necessary to enable the National Institutes of Health to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the agency's programs.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 25275	04/10/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 53112	06/25/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 81

table that charts list of burden

IC Title	Form No.	Form Name
NIH, National Institute on Aging, Director's Regional Meeting	1	Survey
"Science-Based Non-Academic Careers (SNAC)" Satisfaction Survey (NCI)	1	Survey
2024 Clinical Pharmacology Training Network (CPTN) Virtual Trainee/Scholar Orientation Post-Meeting Assessment (NICHD)	1	Survey
2024 Health Disparities Research Institute (HDRI) Course Assessment (NIMHD)	1	Survey
2024 Meeting of Clinical Pharmacology Trainees Post-Meeting Assessment (NICHD)	1	Survey
2024 National Institutes of Health (NIH) Office of Equity, Diversity, and Inclusion (EDI) Forum Attendee Survey	1	Survey
2024-25 Principles of Pediatric Clinical Pharmacology Course – Webinar Feedback Satisfaction Questionnaire (NICHD)	1	Survey
2026 Department of Laboratory Medicine (DLM) Services Stakeholder Perception Survey	1	Survey
2026 Health Disparities Research Institute (HDRI) Course Assessment (NIMHD)	1	Assessment
2026 NIDDK K Awardee Post Workshop Feedback Survey	1	Survey
AI Pre-Workshop Questionnaire (NIDDK)	1	Questionnaire
Biowulf 2026 User Experience Survey" – A Customer Satisfaction Survey for the Biowulf Service at the Center for Information Technology	1	Survey
Building Fast Healthcare Interoperability Resources (FHIR) Research Capacity	1, 2	Survey ,   Survey
Building Interdisciplinary Research Careers in Women's Health (BIRCWH) 25th Year Assessment	1	Survey
CDE Repository User Survey (NLM)	1	Survey
Center for Information Technology – Internal Customer Experience Net Promoter Score (NPS) Survey	1	Survey
Customer Satisfaction Survey for the Biowulf Service at the Center for Information Technology	1	Survey
DIS Customer Survey 2024	1, 2	Survey ,   Survey
Database of Genotypes and Phenotypes (dbGaP) Submission Survey FY25	1	Survey
Dataset Catalog User Experience Survey (NLM)	1	Survey
Division of Cancer Control and Population Sciences Fellows Feedback Survey (NCI)	Survey	1
Division of Personnel Security (DPS) Office of the Director (OD) Customer Satisfaction Surveys	2, 1	Survey ,   Survey
EARA Pilot Pre-Program Faculty Survey	1	Survey
Eunice Kennedy Shriver National Institute of Child Health and Human Development Fellowship and Career Development Series Post-Event Survey (NICHD)	1	Survey
Evidence-Based Cancer Control Programs (EBCCP) Bulletin Feature Questionnaire (NCI)	1	Questionnaire
Evidence-Based Cancer Control Programs (EBCCP) Submission Process Evaluation & Satisfaction Survey (NCI)	1	Survey
Feedback form for the 2026 Brain Research Through Advancing Innovative Neurotechnologies® (BRAIN) Initiative Conference	1	Survey
Feedback on the Center for Scientific Reviews' (CSR) Mitigating Unfairness in Peer Review Online Training	1	Survey
Feedback on the Center for Scientific Reviews' Lunch and Learn Seminar Series: Communicating Through Change & Transition-Finding Clarity, Connection, & Opportunity in Uncertain Times	1	Survey
Feedback on the Center for Scientific Reviews' Special Observance Events	1	Survey
GenBank Record Survey 2024 (NLM)	1	Survey
Impact of Engagement with NLM Historical Collection: Feedback Survey	1	Survey
Introductory Pain Course – Survey to Determine Topics of Interest	1	Survey
K Grant Writing Workshop Satisfaction Survey (NCI)	1	Survey
LocatorPlus Catalog Redesign Feedback Survey (NLM)	Survey	1
Meeting Attendee Feedback Form for the ABCD Insights and Innovations Meeting (AIIM): NIDA	1	Survey
Meeting Attendee Feedback Form for the ABCD Insights and Innovations Meeting (AIIM): NIDA	1	Feedback Survey
NCATS OAM Customer Feedback Survey	1	Survey
NCATS Recognition Dashboard	1	Survey
NCBI Basic Local Alignment Search Tool (BLAST®) Questionnaire Fall 2024	1	Survey
NCCIH Fellows and Trainees Workshop Feedback Survey	1	Survey
NCI / DCEG Human Microbiome and Cancer Epidemiology Short Course Pre and Post Surveys	1, 2	Survey ,   Survey
NIBIB OAM Customer Feedback Survey	Survey	1
NIBIB Website Feedback Survey	1	Survey
NIDA Geospatial Data Science Post Workshop Feedback Survey	1	Survey
NIDA Website User Feedback Survey	1	Survey
NIDDK Webpage Content Survey	1	Survey
NIEHS Worker Training Program's (WTP) Fall 2024 Award Recipient Meeting Assessment Questions	1	Assessment
NIEHS Worker Training Program's (WTP) Fall 2024 Technical Workshop Assessment Questions	1	Survey
NIH Behavioral and Social Sciences Early Career Workshop Survey	1	Survey
NIH CIT OSCS All-Hands Meeting Feedback Survey	1	Survey
NIH Clinical Center 2025 CRIS User Satisfaction Survey)	1	Survey
NIH Exec Sec Feedback Survey for ICO Liaisons and Reviewers	1	Survey
NIH Genetic and Rare Disease (GARD) Information Center's Website On-Page Feedback Survey (NCATS)	1	Survey
NIH NCATS Clinical and Translational Science Awards (CTSA) Coordination, Communication, Operations, and Support (CCOS) Center Annual Feedback Survey of CTSA Members	Survey	1
NIH NIA Director's Regional Meeting	1	Survey
NIH ODP Pathways to Prevention (P2P) Post-Workshop Participant Survey	2, 1, 3	Survey ,   Survey ,   Survey
NIH Public Access Compliance Monitoring Survey	1	Survey
NIH Re-Entry Supplement Program Feedback Survey	1	Survey
NIH Training Center Class Feedback	1	Form
NLM Sitewide Survey for Website Satisfaction (2024)	1	Survey
Nanotechnology Characterization Lab (NCL) Assay Cascade Collaboration Satisfaction Survey (NCI)	1	Survey
OPR Recruitment Strategies Assessment	1	Survey
Office of Laboratory Animal Welfare (OLAW) Conversations 12_2024-12_2026 (Customer Feedback)	1	Survey
Office of Research Services (ORS) Contractor Survey	1	Survey
Office of Research Services (ORS) Division of Administrative Services (DAS) Satisfaction Survey (OD)	Survey	1
Office of Research Services (ORS) Office of Innovation and Information Technology (OIIT) Satisfaction Survey (OD)	Survey	1
PMC Beta Search Feedback Survey	1	Survey
Pathways for Future Oncologists Satisfaction Survey (NCI)	Survey	1
Polling questions for the 2025 PEGS Participant Advisory Board (PAB) Meeting (NIEHS)	1	Poll
Polling questions for the 2025 PEGS Town Hall: Putting Exposures on the Map	1	Poll
Posit Community of Practice Baseline Survey (CIT)	1	Survey
Post-Meeting Survey for the 2026 Early Career Researcher Event for the Brain Research Through Advancing Innovative Neurotechnologies (BRAIN) Initiative Conference	Survey	1
Reviewer Feedback on the Center for Scientific Review's (CSR) 2026 Integrity in Peer Review Training	1	Survey
Reviewer Feedback on the Quality of Review at the NIH Center for Scientific Review	1	Survey
Statistics Tutorial Satisfaction Survey (NCI)	Survey	1
Strategic Networking Workshop Satisfaction Survey	Survey	1
TOC Customer Satisfaction Survey (CIT)	1	Survey
The COSWD Scientific Workforce Diversity Seminar Series (SWDSS) Feedback Survey	1	Survey
UMLS Annual Report - 2024	1	Survey
Whole Person Health Satisfaction Survey (NCI)	Survey	1

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,434,000	1,059,000	0	375,000	0	0
Annual Time Burden (Hours)	309,249	147,999	0	161,250	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is an extension of a currently approved submission. There are no substantive changes to the content of the request however, burden hours have increased to accommodate the use of the NIH-Wide basic registration and abstract form. These two forms allow programs to use at free will so long as the data elements of the forms remain as is.

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Annual Cost to Federal Government: $18,121

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/25/2024

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