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Safety Communication Campaign (DOHS/OD)
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)
OMB: 0925-0648
IC ID: 239642
OMB.report
HHS/NIH
OMB 0925-0648
ICR 202102-0925-005
IC 239642
( )
⚠️ Notice: This information collection may be referencing outdated material.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
01292020-CLagoe-Burden-Safety Communication Campaign Survey-Interviews.pdf
Instruction
01292020-CLagoe-Burden-Safety Communication Campaign Survey-Interviews.pdf
Instruction
01292020-CLagoe-Request-Safety Communication Campaign.docx
Fast Track Request for Safety Communication Campaign
IC Document
01292020-CLagoe-Request-Safety Communication Campaign.docx
Fast Track Request for Safety Communication Campaign
IC Document
01292020-CLagoe-Recruitment Email–Sent from OSHC Members.docx
Recuritment email Sent from OSHC members
IC Document
01292020-CLagoe-Recruitment Email–Sent from OSHC Members.docx
Recuritment email Sent from OSHC members
IC Document
01292020-CLagoe-Recruitment Email–To Be Sent From Safety Specialists.docx
Recruitment Email to be sent from Safety Specialist
IC Document
01292020-CLagoe-Recruitment Email–To Be Sent From Safety Specialists.docx
Recruitment Email to be sent from Safety Specialist
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Safety Communication Campaign (DOHS/OD)
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
Instruction
01292020-CLagoe-Burden-Safety Communication Campaign Survey-Interviews.pdf
No
Paper Only
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:
100
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
100
0
0
0
0
100
Annual IC Time Burden (Hours)
50
0
0
0
0
50
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Fast Track Request for Safety Communication Campaign
01292020-CLagoe-Request-Safety Communication Campaign.docx
01/29/2020
Recuritment email Sent from OSHC members
01292020-CLagoe-Recruitment Email–Sent from OSHC Members.docx
01/29/2020
Recruitment Email to be sent from Safety Specialist
01292020-CLagoe-Recruitment Email–To Be Sent From Safety Specialists.docx
01/29/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.