Information Collection

CIRB Customer Satisfaction survey (Attachment C4)

IC 225922 under ICR 202411-0925-001 · OMB 0925-0753.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 65 CIRB Customer Satisfaction survey (Attachment C4)	Form
Form 65 CIRB Satisfaction survey 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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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	65				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 %

table that charts list of burden
	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

table that charts IC Documents
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].