NIH Events Management – Audio Visual 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⚠️ Notice: This information collection may be referencing outdated material.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 NIH Events Management – Audio Visual Survey Form and Instruction
1 FY 17 EM Audio Visual Survey 091517-DRAFT-FY17 EM Audio Visual Survey.docx Form and Instruction
091517-DRAFT-EM Audio Visual Request for OMB Survey Approval.docx NIH Events Management – Audio Visual Survey IC Document
091517-DRAFT-PRA-Letter-EM Audio Visual Survey.docx Email IC Document

Information Collection (IC) Details

IC Title:	NIH Events Management – Audio Visual 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	FY 17 EM Audio Visual Survey	091517-DRAFT-FY17 EM Audio Visual Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	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	60	60
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NIH Events Management – Audio Visual Survey	091517-DRAFT-EM Audio Visual Request for OMB Survey Approval.docx	09/15/2017
Email	091517-DRAFT-PRA-Letter-EM Audio Visual Survey.docx	09/15/2017

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