FY2020 NIH Loan Repayment Programs Renewal Award Survey (LRP/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⚠️ Notice: This information collection may be referencing outdated material.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 FY2020 NIH Loan Repayment Programs Renewal Award Survey (LRP/OD) Form
1 FY2020 LRP Renewal Award Survey FY2020 LRP Renewal Award Survey - Screenshots.pdf Form
FY2020 LRP Renewal Award Survey - PCB Fasttrack Template (5).doc FY2020 LRP Renewal Award Survey fast track IC Document
FY2020 LRP Renewal Award Survey - Invitation Email.docx FY2020 LRP Renewal Award survey email invitation IC Document

Information Collection (IC) Details

IC Title:	FY2020 NIH Loan Repayment Programs Renewal Award Survey (LRP/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	1	FY2020 LRP Renewal Award Survey	FY2020 LRP Renewal Award Survey - Screenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 55	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	55	55
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
FY2020 LRP Renewal Award Survey fast track	FY2020 LRP Renewal Award Survey - PCB Fasttrack Template (5).doc	12/05/2019
FY2020 LRP Renewal Award survey email invitation	FY2020 LRP Renewal Award Survey - Invitation Email.docx	12/05/2019

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