NIDDK Health Information Satisfaction Survey

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⚠️ Notice: This information collection may be referencing outdated material.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 NIDDK Health Information Satisfaction Survey Form
1 NIDDK Health Information survey 2022-10-07_NIDDK-Health-Information-Survey_.pdf Form
Request-for-Approval_OCHIN-NIDDK-EHR-Pilot-Survey.docx fast track for NIDDK Health Information survey IC Document

Information Collection (IC) Details

IC Title:	NIDDK Health Information Satisfaction Survey	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	NIDDK Health Information survey	2022-10-07_NIDDK-Health-Information-Survey_.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 190,000	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	190,000	190,000
Annual IC Time Burden (Hours)	9,500	9,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
fast track for NIDDK Health Information survey	Request-for-Approval_OCHIN-NIDDK-EHR-Pilot-Survey.docx	10/18/2022

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