Workplace and Organizational Performance 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⚠️ Notice: This information collection may be referencing outdated material.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 Workplace and Organizational Performance Survey Form and Instruction
1 Workplace Organizational Performance Survey Org Perform Survey_6.pdf Form and Instruction
OMB Request for Approval - WP and Org Performance Survey_2017-0914.pdf Workplace and Organizational Performance Survey IC Document

Information Collection (IC) Details

IC Title:	Workplace and Organizational Performance 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	Workplace Organizational Performance Survey	Org Perform Survey_6.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 708	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	708	708
Annual IC Time Burden (Hours)	177	177
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Workplace and Organizational Performance Survey	OMB Request for Approval - WP and Org Performance Survey_2017-0914.pdf	09/15/2017

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