Self-Administered Customer Satisfaction Surveys of Meetings and Conference Sessions

PRETESTING OF NIAID'S HIV VACCINE RESEARCH EDUCATION INITIATIVE COMMUNICATION MESSAGES

Documents and Forms

Document Name Document Type
Form 1 Self-Administered Customer Satisfaction Surveys of Meetings and Conference Sessions Form and Instruction
1 Survey CSS Appendix 1 Participant Questionnaire 11-0503.doc Form and Instruction
CSS GenericClearanceForm 11-0503.doc CSS GenericClearanceForm 11-0503 IC Document
Mini Supporting Statement 0925-0585-06-1.docx Mini Supporting Statement 0925-0585-06-1 IC Document
CSS Appendix 2 IRB Approval.pdf CSS Appendix 2 IRB Approval IC Document

Information Collection (IC) Details

IC Title:	Self-Administered Customer Satisfaction Surveys of Meetings and Conference Sessions	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 and Instruction	1	Survey	CSS Appendix 1 Participant Questionnaire 11-0503.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,265	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	4,530	0	0	0	0	0
Annual IC Time Burden (Hours)	483	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
CSS GenericClearanceForm 11-0503	CSS GenericClearanceForm 11-0503.doc	07/28/2011
Mini Supporting Statement 0925-0585-06-1	Mini Supporting Statement 0925-0585-06-1.docx	07/28/2011
CSS Appendix 2 IRB Approval	CSS Appendix 2 IRB Approval.pdf	07/28/2011

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