EPIC Cohort Staff Satisfaction Survey (NIAID)

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIAID)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0668 can be found here:

Documents and Forms

Document Name Document Type
Form 1 EPIC Cohort Staff Satisfaction Survey (NIAID) Form and Instruction
1 screenshot of internal communication survey Appendix 2 - OMB Screenshots of Internal Communication Survey_4.23.19.docx Form and Instruction
EPIC_Fast Track_ 2019.doc EPIC fast track IC Document
Appendix 1 - NIAID Communications Survey Invite and reminders .docx EPIC communication survey invite and reminder IC Document

Information Collection (IC) Details

IC Title:	EPIC Cohort Staff Satisfaction Survey (NIAID)	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	screenshot of internal communication survey	Appendix 2 - OMB Screenshots of Internal Communication Survey_4.23.19.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	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	2,000	2,000
Annual IC Time Burden (Hours)	333	333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
EPIC fast track	EPIC_Fast Track_ 2019.doc	04/24/2019
EPIC communication survey invite and reminder	Appendix 1 - NIAID Communications Survey Invite and reminders .docx	04/24/2019

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