NLM DOCLINE Customer Service Survey

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⚠️ Notice: This information collection may be referencing outdated material.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 DOCLINE Customer Service Survey Form and Instruction
1 NLM DOCLINE Customer Service Survey Instrument NLM DOCLINE Customer Service Survey Instrument.pdf Form and Instruction
NIH Fast Track ICR_NLM DOCLINE Customer Service Survey.docx NLM DOCLINE Customer Service Survey IC Document

Information Collection (IC) Details

IC Title:	NLM DOCLINE Customer Service Survey	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	NLM DOCLINE Customer Service Survey Instrument	NLM DOCLINE Customer Service Survey Instrument.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,200	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	2,200	2,200
Annual IC Time Burden (Hours)	440	440
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NLM DOCLINE Customer Service Survey	NIH Fast Track ICR_NLM DOCLINE Customer Service Survey.docx	01/10/2017

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