Information Request from Visitors at the NIH Center for Scientific Reviews' Information Booth (CSR)

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⚠️ Notice: This information collection may be referencing outdated material.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 Information Request from Visitors at the NIH Center for Scientific Reviews' Information Booth (CSR) Form
1 Question Box cards Question Box Cards (003).docx Form
1 Question Box cards Question Box Cards (003).docx Form
Fast Track Template 2019 CSR Outreach Survey.doc Fast Track template for 2019 Outreach survey IC Document
Fast Track Template 2019 CSR Outreach Survey.doc Fast Track template for 2019 Outreach survey IC Document

Information Collection (IC) Details

IC Title:	Information Request from Visitors at the NIH Center for Scientific Reviews' Information Booth (CSR)	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	Question Box cards	Question Box Cards (003).docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track template for 2019 Outreach survey	Fast Track Template 2019 CSR Outreach Survey.doc	09/17/2019

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