NLM AIDS Portal Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (OD/OER)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Document Name Document Type
Form 1 NLM AIDS Portal Survey Form and Instruction
1 Attachment 2_NLM AIDS Portal Survey Screenshots Attachment 2_NLM AIDS Portal Survey 2014_Screen shots.pdf Form and Instruction
NIH fast track request_NLM AIDS Portal-1.doc Fast-track template NLM AIDS Portal Survey IC Document
Attachment 1_NLM AIDS Portal Survey. Instrument.doc Attachment 1_NLM AIDS Portal Survey. Instrument IC Document

Information Collection (IC) Details

IC Title:	NLM AIDS Portal 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	Attachment 2_NLM AIDS Portal Survey Screenshots	Attachment 2_NLM AIDS Portal Survey 2014_Screen shots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast-track template NLM AIDS Portal Survey	NIH fast track request_NLM AIDS Portal-1.doc	06/03/2014
Attachment 1_NLM AIDS Portal Survey. Instrument	Attachment 1_NLM AIDS Portal Survey. Instrument.doc	06/03/2014

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