Center for Scientific Review (CSR) - 2012 IRG Stakeholder Survey

Generic Clearance for Satisfaction Surveys of Customers (CSR)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0474 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Center for Scientific Review (CSR) - 2012 IRG Stakeholder Survey Form and Instruction
1 CSR Review- 2012 IRG Survey- screen shots 2012 IRG Stakeholder Survey -PSE.pdf Form and Instruction
2012 IRG StakeholderSurveyMemoCSR for PSE with PCB comments 4.30.2013.doc CSR Generic Template IC Document
IRG Stakeholder Memo for PSE with PCB comments 4.30.2013.doc CSR Justification Memo IC Document

Information Collection (IC) Details

IC Title:	Center for Scientific Review (CSR) - 2012 IRG Stakeholder 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 and Instruction	1	CSR Review- 2012 IRG Survey- screen shots	2012 IRG Stakeholder Survey -PSE.pdf		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90	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	90	0	0	0	0	0
Annual IC Time Burden (Hours)	23	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
CSR Generic Template	2012 IRG StakeholderSurveyMemoCSR for PSE with PCB comments 4.30.2013.doc	05/03/2013
CSR Justification Memo	IRG Stakeholder Memo for PSE with PCB comments 4.30.2013.doc	05/03/2013

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