NIMH Information Resource Center (IRC) Customer Satisfaction Surveys for Email Information Services, Online Publications Ordering Services and Telephone Services

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

⚠️ Notice: This information collection may be referencing outdated material.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 NIMH Information Resource Center (IRC) Customer Satisfaction Surveys for Email Information Services, Online Publications Ordering Services and Telephone Services Form and Instruction
1 Email services survey NIMH IRC.Email Service Survey.Sept2015.AppA.pdf Form and Instruction
2 Online publications ordering services survey NIMH IRC.Online Publications Ordering Survey.Sept2015.AppB.pdf Form and Instruction
3 Telephone services survey NIMH IRC Telephone Service Customer Satisfaction Survey.Sept2015.AppC.pdf Form and Instruction
Fast Track Template.NIMH IRC Customer Satisfaction Surveys.Oct2015.pdf Fast Track Submission Form IC Document

Information Collection (IC) Details

IC Title:	NIMH Information Resource Center (IRC) Customer Satisfaction Surveys for Email Information Services, Online Publications Ordering Services and Telephone Services	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Email services survey	NIMH IRC.Email Service Survey.Sept2015.AppA.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	2	Online publications ordering services survey	NIMH IRC.Online Publications Ordering Survey.Sept2015.AppB.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	3	Telephone services survey	NIMH IRC Telephone Service Customer Satisfaction Survey.Sept2015.AppC.pdf	No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,020	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,020	2,020
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Submission Form	Fast Track Template.NIMH IRC Customer Satisfaction Surveys.Oct2015.pdf	10/20/2015

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