SR Maximizing Value 3Month Post (ORS/OD)

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⚠️ Notice: This information collection may be referencing outdated material.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 SR Maximizing Value 3Month Post (ORS/OD) Form and Instruction
1 KOliver Screenshots 061119-KOliver-SCREENSHOTS-Maximizing Value Pilot-3MonthPostTrainEvalSurvey.docx Form and Instruction
061119-KOliver-Fast Track PRA Request for Approval-3MoPostSurv.doc Fast Track fir Mazimizing Value 3Mo Post IC Document

Information Collection (IC) Details

IC Title:	SR Maximizing Value 3Month Post (ORS/OD)	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	KOliver Screenshots	061119-KOliver-SCREENSHOTS-Maximizing Value Pilot-3MonthPostTrainEvalSurvey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track fir Mazimizing Value 3Mo Post	061119-KOliver-Fast Track PRA Request for Approval-3MoPostSurv.doc	06/13/2019

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