Research Blog Survey (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⚠️ Notice: This information collection may be referencing outdated material.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 Research Blog Survey (NCCIH) Form
1 Blog survey NCCIH Blog Survey Instrument_revised.docx Form
Fasttrack template_ NCCIH Research blog customer feedback survey FINAL.docx fast track for Research Blog survey IC Document
Outreach email_NCCIH reseasrch blog survey.docx outreach email IC Document

Information Collection (IC) Details

IC Title:	Research Blog Survey (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	Blog survey	NCCIH Blog Survey Instrument_revised.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	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	200	200
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
fast track for Research Blog survey	Fasttrack template_ NCCIH Research blog customer feedback survey FINAL.docx	09/20/2022
outreach email	Outreach email_NCCIH reseasrch blog survey.docx	09/20/2022

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