NIH Library Customer Satisfaction 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⚠️ Notice: This information collection may be referencing outdated material.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 Library Customer Satisfaction Survey Form and Instruction
1 Survey with Burden Disclosure Statement SURVEY~1.DOC Form and Instruction
Customer Satisfaction survey May 2018 OMB clearance request (2).doc Customer Satisfaction Survey IC Document

Information Collection (IC) Details

IC Title:	NIH Library Customer Satisfaction 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	Survey with Burden Disclosure Statement	SURVEY~1.DOC		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Customer Satisfaction Survey	Customer Satisfaction survey May 2018 OMB clearance request (2).doc	03/15/2018

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