Participant Feedback on 2016 NIH Common Fund High-Risk, High-Reward Research Symposium

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⚠️ Notice: This information collection may be referencing outdated material.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 Participant Feedback on 2016 NIH Common Fund High-Risk, High-Reward Research Symposium Form and Instruction
1 Survey 2016 HRHR Symposium screenshot Survey_2016 HRHR Symposium_screen shots_2.pdf.docx Form and Instruction
OMB-PRA Fast Track Template 2015_2016 HRHR Symposium survey_2.doc 2015-1016 HRHR Symposium fast track survey IC Document
Feedback on the NIH Common Fund High-Risk High-Reward Research Symposium.msg Feedback on the NIH Common Fund High IC Document

Information Collection (IC) Details

IC Title:	Participant Feedback on 2016 NIH Common Fund High-Risk, High-Reward Research Symposium	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	Survey 2016 HRHR Symposium screenshot	Survey_2016 HRHR Symposium_screen shots_2.pdf.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 185	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	185	185
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
2015-1016 HRHR Symposium fast track survey	OMB-PRA Fast Track Template 2015_2016 HRHR Symposium survey_2.doc	12/16/2016
Feedback on the NIH Common Fund High	Feedback on the NIH Common Fund High-Risk High-Reward Research Symposium.msg	12/16/2016

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