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NCCIH at 20: A Catalyst for Integrative Health Research Program Feedback
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)
OMB: 0925-0648
IC ID: 237690
OMB.report
HHS/NIH
OMB 0925-0648
ICR 202102-0925-005
IC 237690
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:
2024-06-25 - Extension without change of a currently approved collection
2023-08-25 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 1
NCCIH at 20: A Catalyst for Integrative Health Research Program Feedback
Form
1 NCCIH Feedback Form
NCCIH at 20 Feedback Form.pdf
Form
1 NCCIH Feedback Form
NCCIH at 20 Feedback Form.pdf
Form
Fast Track Generic Clearance NCCIH 20th Anniversary Symposium.docx
Fast Track Template
IC Document
Fast Track Generic Clearance NCCIH 20th Anniversary Symposium.docx
Fast Track Template
IC Document
NCCIH at 20 Feedback Survey - email invitation.docx
Email Invitation
IC Document
NCCIH at 20 Feedback Survey - email invitation.docx
Email Invitation
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
NCCIH at 20: A Catalyst for Integrative Health Research Program Feedback
Agency IC Tracking Number:
IC Status:
Unchanged
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
NCCIH Feedback Form
NCCIH at 20 Feedback Form.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
200
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
200
0
0
0
0
200
Annual IC Time Burden (Hours)
17
0
0
0
0
17
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Fast Track Template
Fast Track Generic Clearance NCCIH 20th Anniversary Symposium.docx
09/09/2019
Email Invitation
NCCIH at 20 Feedback Survey - email invitation.docx
09/09/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.