BLAST 2023 Survey (NLM)

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⚠️ Notice: This information collection may be referencing outdated material.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 BLAST 2023 Survey (NLM) Form and Instruction
1 Survey BLAST Survey Instrument 5_8_2023.pdf Form and Instruction
NLM ICR Fast Track BLAST Survey 5_3_2023.docx Template IC Document
BLAST email and banner 5_3_2023.docx Email and Banner IC Document

Information Collection (IC) Details

IC Title:	BLAST 2023 Survey (NLM)	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	Survey	BLAST Survey Instrument 5_8_2023.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	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	1,000	1,000
Annual IC Time Burden (Hours)	133	133
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Template	NLM ICR Fast Track BLAST Survey 5_3_2023.docx	05/08/2023
Email and Banner	BLAST email and banner 5_3_2023.docx	05/08/2023

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