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T32 Program Assessment (NICHD)
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NICHD)
OMB: 0925-0643
IC ID: 243272
OMB.report
HHS/NIH
OMB 0925-0643
ICR 201711-0925-003
IC 243272
( )
Documents and Forms
Document Name
Document Type
Form 1
T32 Program Assessment (NICHD)
Form and Instruction
1 T32 survey
0925-0643_Substudy_T32 program_survey.pdf
Form and Instruction
0925-0643_Substudy_T32 program (1).docx
fast track sub-study T32 survey
IC Document
0925-0643_Substudy_T32 program_email.docx
email
IC Document
0925-0643_Substudy_T32 program_Privacy memo.pdf
Privacy Act memo
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
T32 Program Assessment (NICHD)
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
T32 survey
0925-0643_Substudy_T32 program_survey.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
12
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
12
0
12
0
0
0
Annual IC Time Burden (Hours)
3
0
3
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
fast track sub-study T32 survey
0925-0643_Substudy_T32 program (1).docx
08/20/2020
email
0925-0643_Substudy_T32 program_email.docx
08/20/2020
Privacy Act memo
0925-0643_Substudy_T32 program_Privacy memo.pdf
08/20/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.