Information Collection

NIH Tetramer Core Facility Client Survey

IC 277335 under ICR 202506-0925-001 · OMB 0925-0668.

Documents and Forms

Document Name Document Type
Form 1 Survey NIH Tetramer Core Facility Client Survey Form
1 Survey TCF survey screenshots.docx Form
TCF 08-2025 0925-0668 Generic Clearance Fast Track Template.docx Template IC Document
Pop up invitation wording TCF survey.docx Invitation IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NIH Tetramer Core Facility Client Survey	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	TCF survey screenshots.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	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	600	600
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Template	TCF 08-2025 0925-0668 Generic Clearance Fast Track Template.docx	08/29/2025
Invitation	Pop up invitation wording TCF survey.docx	08/29/2025

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

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