Form 1 Survey Screenshots

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

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0925-0648 can be found here:

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The Community Health Maps Project (http://communityhealthmaps.nlm.nih.gov/ ) Survey
Intro page:

“If yes”

“If No”

Closing for all

Thank you page