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Support Assessment of the NIMHD Research Centers in Minority Institutions (RCMI) Program (NIMHD)
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)
OMB: 0925-0648
IC ID: 251016
OMB.report
HHS/NIH
OMB 0925-0648
ICR 202307-0925-002
IC 251016
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Documents and Forms
Document Name
Document Type
Form 1
Support Assessment of the NIMHD Research Centers in Minority Institutions (RCMI) Program (NIMHD)
Form and Instruction
1 Focus Group guide
RCMI Program Retrospective Evaluation Focus Groups Guides _Final for OMB_.docx
Form and Instruction
2 Interview Guide
RCMI Program Retrospective Evaluation Interview Guides_Final for OMB.docx
Form and Instruction
RCMI OMB Fast Track Form_Interviews Focus Groups Combined.docx
fast track for Support Assessment of RCMI Program
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Support Assessment of the NIMHD Research Centers in Minority Institutions (RCMI) Program (NIMHD)
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 and Instruction
1
Focus Group guide
RCMI Program Retrospective Evaluation Focus Groups Guides _Final for OMB_.docx
No
Paper Only
Form and Instruction
2
Interview Guide
RCMI Program Retrospective Evaluation Interview Guides_Final for OMB.docx
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:
130
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
130
0
0
0
0
130
Annual IC Time Burden (Hours)
178
0
0
0
0
178
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
fast track for Support Assessment of RCMI Program
RCMI OMB Fast Track Form_Interviews Focus Groups Combined.docx
01/05/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.