Pragmatic & Group-Randomized Trials (GRT) in Public Health & Medicine Participant Feedback Survey: Parts 1-7

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⚠️ Notice: This information collection may be referencing outdated material.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 Pragmatic & Group-Randomized Trials (GRT) in Public Health & Medicine Participant Feedback Survey: Parts 1-7 Form
1 MOOC Survey SurveyMonkey MOOC Survey Part 1 Updated.pdf Form
Screenshot of Question 4, Parts 1-7.docx Screenshot variance of Question 4 IC Document
Fast Track Template 2015 - MOOC Evaluations Revised_11102016_v2.doc Fast Track Template for GRT MOOC IC Document

Information Collection (IC) Details

IC Title:	Pragmatic & Group-Randomized Trials (GRT) in Public Health & Medicine Participant Feedback Survey: Parts 1-7	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	1	MOOC Survey	SurveyMonkey MOOC Survey Part 1 Updated.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 700	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	700	700
Annual IC Time Burden (Hours)	117	117
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Screenshot variance of Question 4	Screenshot of Question 4, Parts 1-7.docx	11/17/2016
Fast Track Template for GRT MOOC	Fast Track Template 2015 - MOOC Evaluations Revised_11102016_v2.doc	11/22/2016

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