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NIH ODP Pathways to Prevention Post-Workshop Survey V (OD)
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)
OMB: 0925-0648
IC ID: 254633
OMB.report
HHS/NIH
OMB 0925-0648
ICR 202307-0925-002
IC 254633
( )
⚠️ Notice: This information collection may be referencing outdated material.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
NIH ODP Pathways to Prevention Post-Workshop Survey V (OD)
Form
1 P2P Day 1 survey
P2P Workshop Day 1.pdf
Form
2 P2P day 2 survey
P2P workshop Day 2.pdf
Form
3 P2P day 3 survey
P2P Workshop Day 3.pdf
Form
Fast Track Template_ODP Pathways to Prevention Post-Workshop Survey V_revised.docx
fast track P2P Post Workshop feedback
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
NIH ODP Pathways to Prevention Post-Workshop Survey V (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
P2P Day 1 survey
P2P Workshop Day 1.pdf
Yes
Yes
Fillable Fileable
Form
2
P2P day 2 survey
P2P workshop Day 2.pdf
Yes
Yes
Fillable Fileable
Form
3
P2P day 3 survey
P2P Workshop Day 3.pdf
Yes
Yes
Fillable Fileable
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:
600
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
600
0
0
0
0
600
Annual IC Time Burden (Hours)
100
0
0
0
0
100
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
fast track P2P Post Workshop feedback
Fast Track Template_ODP Pathways to Prevention Post-Workshop Survey V_revised.docx
07/13/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.