OMB control number

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

OMB 0925-0643 · HHS/NIH.

OMB 0925-0643

This is a reinstatement without change to the previously approved submission (0925-0643). There are no changes being requested for this submission. The information collection activity has garnered qualitative customer and stakeholder feedback in an efficient, timely manner, in accordance with the Administration’s commitment to improving service delivery. This generic has provided information about the Eunice Kennedy Shriver National Institute of Child Health and Human Development’s (NICHD) customer or stakeholder perceptions, experiences and expectations, provide an early warning of issues with service, or focus attention on areas where communication, training or changes in operations might improve delivery of products or services.

The latest form for Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NICHD) expires 2021-02-28 and is listed under ICR 201711-0925-003.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 1 T32 Program Assessment (NICHD)	Form and Instruction
Form 1 9th Annual Meeting of T32 Trainees Post-Meeting Feedback (NICHD)	Form
Form 1 Sumner J Yaffe Webinar Series Feedback (NICHD)	Form
Form 1 Sumner J Yaffe Webinar Series Feedback June 2020 (NICHD)	Form
Form 1 Sumner J Yaffe Webinar Series Feedback May 2020 (NICHD)	Form
Form 1 Principles of Pediatric Clinical Pharmacology Webinar Feedback (NICHD)	Form and Instruction
Form 1 DASH Biospecimen 2019 Individuals (NICHD)	Form
Form 1 DASH - Biospecimen Request Federal Goverment Survey (NICHD)	Form
Form 1 DASH - Biospecimen Request Private Sector Survey (NICHD)	Form
Form 1 NICHD DASH -Study Request and/or Study Submission Survey (Private)	Form
Form 1 NICHD DASH -Study Request and/or Study Submission Survey (individuals)	Form
Form 1 NICHD DASH -Study Request and/or Study Submission Survey (federal)	Form
30day FRN2017-24398.pdf	Supplementary Document
0925-0643_NICHD Fast Track Extension2_Attachment 2_List of Sub-Study Approvals.docx	Supplementary Document
0925-0643_NICHD Fast Track Extension2_Attachment 1_Generic Template.docx	Supplementary Document
0925-0643_NICHD Fast Track Extension2_SSB.docx	Supporting Statement B
0925-0643_NICHD Fast Track Extension2_SSA.docx	Supporting Statement A
T32 Program Assessment (NICHD)	Form and Instruction
9th Annual Meeting of T32 Trainees Post-Meeting Feedback (NICHD)	Form
Sumner J Yaffe Webinar Series Feedback (NICHD)	Form
Sumner J Yaffe Webinar Series Feedback June 2020 (NICHD)	Form
Sumner J Yaffe Webinar Series Feedback May 2020 (NICHD)	Form
Principles of Pediatric Clinical Pharmacology Webinar Feedback (NICHD)	Form and Instruction
DASH Biospecimen 2019 Individuals (NICHD)	Form
DASH - Biospecimen Request Federal Goverment Survey (NICHD)	Form
DASH - Biospecimen Request Private Sector Survey (NICHD)	Form
NICHD DASH -Study Request and/or Study Submission Survey (Private)	Form
NICHD DASH -Study Request and/or Study Submission Survey (individuals)	Form
NICHD DASH -Study Request and/or Study Submission Survey (federal)	Form

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
201711-0925-003	Reinstatement without change of a previously approved collection	2017-11-13	Approved without change
201410-0925-002	Extension without change of a currently approved collection	2014-10-09	Approved without change
201110-0925-003	New collection (Request for a new OMB Control Number)	2011-10-24	Approved with change
201110-0925-001	New collection (Request for a new OMB Control Number)	2011-10-03	Improperly submitted
201109-0925-002	New collection (Request for a new OMB Control Number)	2011-09-12	Improperly submitted

OMB Details

NICHD DASH -Study Request and/or Study Submission Survey (federal)

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
Form	Name	Electronic access	Type
Form 1	NICHD DASH Study Submitter survey	Fillable Fileable	Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.