Workshop Survey Feedback Form: Fellows and Trainees Workshop: Whole Person Health Research Careers (NCCIH)

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⚠️ Notice: This information collection may be referencing outdated material.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 Workshop Survey Feedback Form: Fellows and Trainees Workshop: Whole Person Health Research Careers (NCCIH) Form
1 2022 Fellows & Trainees Workshop feedback survey NCCIH Fellows and Trainee Workshop Survey Form 2022_final.docx Form
Fast Track Template_Survey_Fellows and Trainee Workshop_final.docx fast track for 2022 fellows & trainees workshop feedback IC Document
Fellow and trainee workshop survey _Outreach email.docx email outreach IC Document

Information Collection (IC) Details

IC Title:	Workshop Survey Feedback Form: Fellows and Trainees Workshop: Whole Person Health Research Careers (NCCIH)	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	2022 Fellows & Trainees Workshop feedback survey	NCCIH Fellows and Trainee Workshop Survey Form 2022_final.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 110	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	110	110
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
fast track for 2022 fellows & trainees workshop feedback	Fast Track Template_Survey_Fellows and Trainee Workshop_final.docx	07/18/2022
email outreach	Fellow and trainee workshop survey _Outreach email.docx	07/18/2022

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