National Institute of Mental Health (NIMH) Professional Coalition for Research Progress Meeting Assessment Form (NIMH)

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⚠️ Notice: This information collection may be referencing outdated material.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 National Institute of Mental Health (NIMH) Professional Coalition for Research Progress Meeting Assessment Form (NIMH) Form
1 Professional Coalition for Research Progress Assessment NIMH Professional Coalition for Research Progress Meeting Assessment Form .docx Form
Request for OMB Clearance - Collection of Routine Customer Feedback (NIMH Coalition Meeting) (3).docx fast track for National Institute of Mental Health (NIMH) Professional Coalition for Research Progress Meeting Assessment Form IC Document

Information Collection (IC) Details

IC Title:	National Institute of Mental Health (NIMH) Professional Coalition for Research Progress Meeting Assessment Form (NIMH)	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	Professional Coalition for Research Progress Assessment form	NIMH Professional Coalition for Research Progress Meeting Assessment Form .docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 65	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	65	65
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
fast track for National Institute of Mental Health (NIMH) Professional Coalition for Research Progress Meeting Assessment Form	Request for OMB Clearance - Collection of Routine Customer Feedback (NIMH Coalition Meeting) (3).docx	03/24/2021

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