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Division of Scientific Equipment and Instrumentation Services (DSEIS) Maintenance and Repair Services Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)
OMB: 0925-0648
IC ID: 232513
OMB.report
HHS/NIH
OMB 0925-0648
ICR 202104-0925-001
IC 232513
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Division of Scientific Equipment and Instrumentation Services (DSEIS) Maintenance and Repair Services Survey
Form
1 DSEIS PRA Screenshots
073118-JTyus-DSEIS-PRA-Screenshots 071818.pdf
Form
1 DSEIS PRA Screenshots
073118-JTyus-DSEIS-PRA-Screenshots 071818.pdf
Form
073118-JTyus-DSEIS-PRA-Request for PRA Fast-Track Survey.doc
Division of Scientific Equipment and Instrumentation Services (DSEIS) Maintenance and Repair Services Survey
IC Document
073118-JTyus-DSEIS-PRA-Request for PRA Fast-Track Survey.doc
Division of Scientific Equipment and Instrumentation Services (DSEIS) Maintenance and Repair Services Survey
IC Document
073118-JTyus-DSEIS-PRA-Letter-Survey.docx
DSEIS PRA Letter
IC Document
073118-JTyus-DSEIS-PRA-Letter-Survey.docx
DSEIS PRA Letter
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Division of Scientific Equipment and Instrumentation Services (DSEIS) Maintenance and Repair Services Survey
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
DSEIS PRA Screenshots
073118-JTyus-DSEIS-PRA-Screenshots 071818.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
300
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
300
0
0
0
0
300
Annual IC Time Burden (Hours)
25
0
0
0
0
25
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Division of Scientific Equipment and Instrumentation Services (DSEIS) Maintenance and Repair Services Survey
073118-JTyus-DSEIS-PRA-Request for PRA Fast-Track Survey.doc
08/01/2018
DSEIS PRA Letter
073118-JTyus-DSEIS-PRA-Letter-Survey.docx
08/01/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.