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Meeting Attendee Feedback Form for the ABCD Insights and Innovations Meeting (AIIM): NIDA
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)
OMB: 0925-0648
IC ID: 269860
OMB.report
HHS/NIH
OMB 0925-0648
ICR 202406-0925-001
IC 269860
( )
Documents and Forms
Document Name
Document Type
Form 1
Meeting Attendee Feedback Form for the ABCD Insights and Innovations Meeting (AIIM): NIDA
Form
1 Survey
AIIM Attendee Feedback Form.pdf
Form
OMB Approval Form - AIIM Attendee Feedback .docx
Template
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Meeting Attendee Feedback Form for the ABCD Insights and Innovations Meeting (AIIM): NIDA
Agency IC Tracking Number:
IC Status:
New
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
1
Survey
AIIM Attendee Feedback Form.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
50
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
50
0
50
0
0
0
Annual IC Time Burden (Hours)
4
0
4
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Template
OMB Approval Form - AIIM Attendee Feedback .docx
08/06/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.