NIH/CSR Early Career Reviewer Program Survey II

Generic Clearance for Satisfaction Surveys of Customers (CSR)

Documents and Forms

Document Name Document Type
Form 1 NIH/CSR Early Career Reviewer Program Survey II Form and Instruction
1 ECR screenshot ECR print screen 04-28-2016.pdf Form and Instruction
Mini Supporting Statement B for clearance of ECR Survey II FINAL.docx Mini Supporting Statement B IC Document
Supporting Statement for clearance of ECR Survey II FINAL 04 29 2016.docx Mini Supporting Statement A IC Document
National-Institutes-of-Health-ECR-10240-PIA-04-29-2016-1.docx PIA IC Document

Information Collection (IC) Details

IC Title:	NIH/CSR Early Career Reviewer Program Survey II	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	ECR screenshot	ECR print screen 04-28-2016.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,200	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	1,200	1,200
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Mini Supporting Statement B	Mini Supporting Statement B for clearance of ECR Survey II FINAL.docx	04/29/2016
Mini Supporting Statement A	Supporting Statement for clearance of ECR Survey II FINAL 04 29 2016.docx	05/02/2016
PIA	National-Institutes-of-Health-ECR-10240-PIA-04-29-2016-1.docx	05/02/2016

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