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Extramural Researcher External Stakeholder Survey screenshots
PROCESS ASSESSMENT REVIEW OF THE DIVISION OF ACQUIRED IMMUNODEFICIENCY SYNDROME (DAIDS) CRITICAL EVENTS POLICY IMPLEMENTATION (CEPI) PROGRAM (NIAID)
OMB: 0925-0712
IC ID: 213297
OMB.report
HHS/NIH
OMB 0925-0712
ICR 201501-0925-002
IC 213297
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0712 can be found here:
2016-01-11 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form 4
Extramural Researcher External Stakeholder Survey screenshots
Form
4 Incentive Survey Distribution Screenshots
Attachment 9 Incentive Distribution Form survey participants screenshots.pdf
Form
5 Extramural Researcher External Stakeholder Survey screen
Attachment 19 Extramural Researcher External Stakeholder Survey Screenshots.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Extramural Researcher External Stakeholder Survey screenshots
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
4
Incentive Survey Distribution Screenshots
Attachment 9 Incentive Distribution Form survey participants screenshots.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
5
Extramural Researcher External Stakeholder Survey screenshots
Attachment 19 Extramural Researcher External Stakeholder Survey Screenshots.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
400
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
400
0
400
0
0
0
Annual IC Time Burden (Hours)
200
0
200
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.