Annual Lab Survey (NIA)

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⚠️ Notice: This information collection may be referencing outdated material.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 Annual Lab Survey (NIA) Form and Instruction
1 2023 Annual Lab Survey 2023 Annual Lab Survey Screenshots.pdf Form and Instruction
Annaul Lab Recruitment email.pdf Recruitment Email IC Document
Annual Lab Survey Fast Track Clearance 2023.pdf Fast Track Template IC Document

Information Collection (IC) Details

IC Title:	Annual Lab Survey (NIA)	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	2023 Annual Lab Survey	2023 Annual Lab Survey Screenshots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 642	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	642	642
Annual IC Time Burden (Hours)	107	107
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Recruitment Email	Annaul Lab Recruitment email.pdf	10/14/2022
Fast Track Template	Annual Lab Survey Fast Track Clearance 2023.pdf	10/14/2022

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