NLM Project SHARE website assessment

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⚠️ Notice: This information collection may be referencing outdated material.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 NLM Project SHARE website assessment Form and Instruction
Attachment 2_NLM Project SHARE_Participant consent form.docx Other-Consent Form
1 Focus Group Questions Attachment 1_NLM Project SHARE_Focus Group Questions.docx Form and Instruction
NLM Fast Track ICR Form_Project SHARE_focus_group.doc Fast-Track Template IC Document

Information Collection (IC) Details

IC Title:	NLM Project SHARE website assessment	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	Focus Group Questions	Attachment 1_NLM Project SHARE_Focus Group Questions.docx		No		Paper Only
Other-Consent Form			Attachment 2_NLM Project SHARE_Participant consent form.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 72	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	72	72
Annual IC Time Burden (Hours)	72	72
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast-Track Template	NLM Fast Track ICR Form_Project SHARE_focus_group.doc	03/25/2016

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