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Nurses' Continuing Education Program on Sudden Infant Death Syndrome (SIDS)--Customer Satisfaction Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NICHD)
OMB: 0925-0643
IC ID: 209640
OMB.report
HHS/NIH
OMB 0925-0643
ICR 201110-0925-003
IC 209640
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0643 can be found here:
2017-11-13 - Reinstatement without change of a previously approved collection
2014-10-09 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
Nurses' Continuing Education Program on Sudden Infant Death Syndrome (SIDS)--Customer Satisfaction Survey
Form and Instruction
1 Nurse CE Program Survey
NICHD Nurse CE Program Survey_12 13.pdf
Form and Instruction
Fast-Track Template_NICHD Nurse CEP_0925-0643.doc
Fast-Track Template_NICHD Nurse CEP_0925-0643
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Nurses' Continuing Education Program on Sudden Infant Death Syndrome (SIDS)--Customer Satisfaction 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 and Instruction
1
Nurse CE Program Survey
NICHD Nurse CE Program Survey_12 13.pdf
Yes
Yes
Fillable Fileable
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:
18,400
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
18,400
0
0
0
0
0
Annual IC Time Burden (Hours)
4,600
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Fast-Track Template_NICHD Nurse CEP_0925-0643
Fast-Track Template_NICHD Nurse CEP_0925-0643.doc
12/05/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.