NIMH Information Resource Center (IRC) Customer Satisfaction Surveys for Email Information Services, Online Publications Ordering Services and Telephone Services

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⚠️ Notice: This information collection may be referencing outdated material.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 3 NIMH Information Resource Center (IRC) Customer Satisfaction Surveys for Email Information Services, Online Publications Ordering Services and Telephone Services Form
1 Telephone Service Customer Satisfaction survey NIMH IRC Telephone Service Customer Satisfaction Survey.Sept2015.AppC.pdf Form
1 Telephone Service Customer Satisfaction survey NIMH IRC Telephone Service Customer Satisfaction Survey.Sept2015.AppC.pdf Form
2 Email Service survey NIMH IRC.Email Service Survey.Sept2015.AppA.pdf Form
2 Email Service survey NIMH IRC.Email Service Survey.Sept2015.AppA.pdf Form
3 Online Publication Ordering Survey NIMH IRC.Online Publications Ordering Survey.Sept2015.AppB.pdf Form
3 Online Publication Ordering Survey NIMH IRC.Online Publications Ordering Survey.Sept2015.AppB.pdf Form
Fast Track Template.NIMH IRC Customer Satisfaction Surveys.Oct2015.pdf Fast track template NIMH IRC Customer Satisfaction Surveys IC Document
Fast Track Template.NIMH IRC Customer Satisfaction Surveys.Oct2015.pdf Fast track template NIMH IRC Customer Satisfaction Surveys IC Document

Information Collection (IC) Details

IC Title:	NIMH Information Resource Center (IRC) Customer Satisfaction Surveys for Email Information Services, Online Publications Ordering Services and Telephone Services	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Telephone Service Customer Satisfaction survey	NIMH IRC Telephone Service Customer Satisfaction Survey.Sept2015.AppC.pdf	Yes	Yes	Fillable Fileable
Form	2	Email Service survey	NIMH IRC.Email Service Survey.Sept2015.AppA.pdf	Yes	Yes	Fillable Fileable
Form	3	Online Publication Ordering Survey	NIMH IRC.Online Publications Ordering Survey.Sept2015.AppB.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,020	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	2,020	2,020
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast track template NIMH IRC Customer Satisfaction Surveys	Fast Track Template.NIMH IRC Customer Satisfaction Surveys.Oct2015.pdf	02/16/2018

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