Opportunities for Extramural Collaborations at the NIH Clinical Center (Uo1) Cutomer Satisfaction Interviews

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0643 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Opportunities for Extramural Collaborations at the NIH Clinical Center (Uo1) Cutomer Satisfaction Interviews Form and Instruction
1 Customer Satisfaction Interview protocol 0925-0643_CC_Customer_Satisfaction_interview_protocol.docx Form and Instruction
0925-0643_CC_Customer_ Satisfaction_ Interview_application.docx Fast track Customer Satisfaction Interview application IC Document
0925-0643_CC_Custome_ Satisfaction_ Interview_Invite.docx Customer Satisfaction Interview Invite IC Document

Information Collection (IC) Details

IC Title:	Opportunities for Extramural Collaborations at the NIH Clinical Center (Uo1) Cutomer Satisfaction Interviews	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	Customer Satisfaction Interview protocol	0925-0643_CC_Customer_Satisfaction_interview_protocol.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 35	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	35	35
Annual IC Time Burden (Hours)	26	26
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast track Customer Satisfaction Interview application	0925-0643_CC_Customer_ Satisfaction_ Interview_application.docx	06/06/2016
Customer Satisfaction Interview Invite	0925-0643_CC_Custome_ Satisfaction_ Interview_Invite.docx	06/06/2016

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