The Annual NIH Pain consortium Symposium Feedback

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⚠️ Notice: This information collection may be referencing outdated material.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 The Annual NIH Pain consortium Symposium Feedback Form
1 Pain 2015 Survey Monkey PainC2015SurveyMonkey.pdf Form
1 Pain 2015 Survey Monkey PainC2015SurveyMonkey.pdf Form
NINDSFastTrackPainC2015 final.doc NINDS Fast Track PainC2015 IC Document
NINDSFastTrackPainC2015 final.doc NINDS Fast Track PainC2015 IC Document

Information Collection (IC) Details

IC Title:	The Annual NIH Pain consortium Symposium 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	Pain 2015 Survey Monkey	PainC2015SurveyMonkey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NINDS Fast Track PainC2015	NINDSFastTrackPainC2015 final.doc	02/14/2018

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