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Transformative R01 Applicant and Reviewer Surveys
Generic Clearance for Satisfaction Surveys of Customers (CSR)
OMB: 0925-0474
IC ID: 189111
OMB.report
HHS/NIH
OMB 0925-0474
ICR 200911-0925-004
IC 189111
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0474 can be found here:
2014-12-17 - Reinstatement without change of a previously approved collection
2014-03-11 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Transformative R01 Applicant and Reviewer Surveys
Form and Instruction
1 Applicant
Applicant survey April 15 09 FINAL.doc
Form and Instruction
2 Reviewer
Reviewer April 15 09-FINAL.doc
Form and Instruction
generic_clearance_form-CSR-T-R01.doc
generic_clearance_form-CSR-T-R01
IC Document
Transformative R01 survey - new form-April 15.doc
Transformative R01 survey - new form-April 15
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Transformative R01 Applicant and Reviewer Surveys
Agency IC Tracking Number:
IC Status:
Unchanged
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
1
Applicant
Applicant survey April 15 09 FINAL.doc
Yes
Yes
Paper Only
Form and Instruction
2
Reviewer
Reviewer April 15 09-FINAL.doc
Yes
No
Paper Only
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:
731
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
731
0
0
0
0
731
Annual IC Time Burden (Hours)
183
0
0
0
0
183
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
generic_clearance_form-CSR-T-R01
generic_clearance_form-CSR-T-R01.doc
04/16/2009
Transformative R01 survey - new form-April 15
Transformative R01 survey - new form-April 15.doc
04/16/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.