OLAW Conversations 2022 Customer Feedback Poll (OD)

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⚠️ Notice: This information collection may be referencing outdated material.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 OLAW Conversations 2022 Customer Feedback Poll (OD) Form
1 customer feedback poll questions Customer feedback poll questions OLAW Conversations 2022.docx Form
Fast track template OLAW Conversations 2022 Customer Feedback Poll.docx fast track for OLAW 2022 Conversations Customer Feedback IC Document
Invitation.docx invitation IC Document

Information Collection (IC) Details

IC Title:	OLAW Conversations 2022 Customer Feedback Poll (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
Form	1	customer feedback poll questions	Customer feedback poll questions OLAW Conversations 2022.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
fast track for OLAW 2022 Conversations Customer Feedback	Fast track template OLAW Conversations 2022 Customer Feedback Poll.docx	12/20/2021
invitation	Invitation.docx	12/20/2021

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