32105 M1 NIH-OAR ClinicalInfo_Survey_9.18.24

E-Government Website Customer Satisfaction Surveys

Documents and Forms

Document Name Document Type
Form 32105 M1NIH-OAR Cl 32105 M1 NIH-OAR ClinicalInfo_Survey_9.18.24 Form and Instruction
32105 M1NIH-OAR Cl NIH-OAR ClinicalInfo_Survey_9.18.24 NIH-OAR ClinicalInfo_Survey_9.18.24.xlsx Form and Instruction
Generic Clearance NIH OAR ClinicalInfo_8.19.24 (1).pdf Generic Clearance NIH OAR ClinicalInfo_8.19.24 (1) IC Document

Information Collection (IC) Details

IC Title:	32105 M1 NIH-OAR ClinicalInfo_Survey_9.18.24	Agency IC Tracking Number:	32105 M1

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 and Instruction	32105 M1NIH-OAR ClinicalInfo_Survey_9.18.24	NIH-OAR ClinicalInfo_Survey_9.18.24	NIH-OAR ClinicalInfo_Survey_9.18.24.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Clearance NIH OAR ClinicalInfo_8.19.24 (1)	Generic Clearance NIH OAR ClinicalInfo_8.19.24 (1).pdf	12/02/2024

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