NIDDK Administrative Survey

Generic Clearance for the Collection of Customer Participation and Performance Management with NIH Programs, Processes, Products, and Services (NIH)

Documents and Forms

Document Name Document Type
Form 1 NIDDK Administrative Survey Form
1 Survey NIDDKAdmin survey screenshot.pdf Form
0925-0778 NIDDK Template Final.docx Template IC Document
NIDDK Launch Email Final.docx Email Correspondence IC Document

Information Collection (IC) Details

IC Title:	NIDDK Administrative Survey	Agency IC Tracking Number:

IC Status: New

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	Survey	NIDDKAdmin survey screenshot.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Template	0925-0778 NIDDK Template Final.docx	10/30/2023
Email Correspondence	NIDDK Launch Email Final.docx	10/30/2023

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