Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIAID)

ICR 201212-0925-001

OMB: 0925-0668

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Form and Instruction
New
Form and Instruction
New
Form and Instruction
New
Form and Instruction
New
Form
New
Form and Instruction
New
Form and Instruction
New
Form and Instruction
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Supporting Statement B
2012-11-26
Supplementary Document
2012-11-26
Supporting Statement A
2012-11-26
IC Document Collections
IC ID
Document
Title
Status
217622 New
217153 New
216771 New
214870 New
214363 New
213986 New
213234 New
212835 New
211958 New
211491 New
209146 New
208419 New
207354 New
207263 New
ICR Details
0925-0668 201212-0925-001
Historical Active
HHS/NIH
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIAID)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/14/2013
Retrieve Notice of Action (NOA) 12/12/2012
OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.¿
  Inventory as of this Action Requested Previously Approved
01/31/2016 36 Months From Approved
28,000 0 0
48,300 0 0
0 0 0

This collection of information is necessary to enable NIAID to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

None
None

Not associated with rulemaking

  75 FR 80542 12/22/2010
77 FR 72361 12/05/2012
No

14
IC Title Form No. Form Name
Evaluation Form for the Bridging the Career Gap for Underrepresented Minority Scientists workshop 1 BTCG Survey
Office of Global Research (OGR) U.S.-Japan Cooperative Medical Sciences Program (CMSP), 17th International Conference on Emerging Infectious Diseases (EID) 1 Taipei Survey
Grantees' Perceptions Regarding the NIAID DAIDS Phased Innovation Award (R21/R33) Funding Mechanism 1 Grantee Survey
Office of Global Research (OGR) Georgia and MENA Workshops 1, 2 OGR MENA Workshop ,   OGR US-GA Program Development Workshop
User Feedback on NIAID's International Clinical Research Regulatory Matrix (ICRRM). 1 User Feedback ICRRM).
Online customer satisfaction survey for collecting feedback on NIH/NIAID grants-related knowledge management needs and resources 1 Online customer satisfaction survey screen shots
The National Institute of Allergy and Infectious Diseases, Pan-American Health Organization, and World Health Organization, Gaps and Opportunities in Chikungunya Research: Expert Consultation on Chiku 1 Feedback survey
User Feedback on NIAID's International Clinical Research Regulatory Matrix (ICRRM) 1 User Feedback on NIAID's (ICRRM)
Customer Satisfaction Survey on NIAID's Institutional Research Training Grant (T32) program 1 T32 PI Survey Instrument
NIAID Centers of Excellence for Influenza Research and Surveillance (CEIRS) Network Pandemic Influenza Research Response Planning Customer Feedback Interviews 1 Key Informant Interview Questions
Assessment of the NIAID Supported Partnerships Program 4, 1, 3, 2 Online Survey ,   Telephone follow up script SCREENER ,   Paper Interview Survey ,   Telephone interview survey
The National Institute of Allergy and Infectious Diseases, Pan-American Health Organization, and World Health Organization, Gaps and Opportunities in Chikungunya Research: Expert Consultation on Chiku 1, 2 Survey Screenshots ,   Survey
The Immunology Database and Analysis Portal (ImmPort) System Customer Satisfaction Surveys 1, 1 Survey Screenshots (Data Users) ,   Survey Screenshots (Data Submitters)
Assessment of the DAIDS Clinical Quality Assurance Program 1 Attachment 1 DAIDS cQMP

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 28,000 0 0 28,000 0 0
Annual Time Burden (Hours) 48,300 0 0 48,300 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR.

$300,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Mikia Currie 3014350941

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/12/2012


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