Assessment of the DAIDS Clinical Quality Assurance Program

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0668 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Assessment of the DAIDS Clinical Quality Assurance Program Form and Instruction
1 Attachment 1 DAIDS cQMP Attachment 1 DAIDS cQMP Fillable PDF final w burden statement.pdf Form and Instruction
DAIDS cQMP customer feedback.doc DAIDS cQMP customer feedback IC Document

Information Collection (IC) Details

IC Title:	Assessment of the DAIDS Clinical Quality Assurance Program	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	Attachment 1 DAIDS cQMP	Attachment 1 DAIDS cQMP Fillable PDF final w burden statement.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 160	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	320	320
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
DAIDS cQMP customer feedback	DAIDS cQMP customer feedback.doc	09/24/2014

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