PREVAIL Scientific Writing Workshop

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⚠️ Notice: This information collection may be referencing outdated material.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 PREVAIL Scientific Writing Workshop Form and Instruction
1 Liberia Writing Workshop screenshot Liberia Writing Workshop_(ScreenShot - WebVersion).docx Form and Instruction
Survey Fast Track Application - PREVAIL - 2017.01.25 rev.doc Survey Fast Track Application - PREVAIL IC Document
Liberia Writing Workshop_v3.docx Liberia Writing Workshop Word document IC Document

Information Collection (IC) Details

IC Title:	PREVAIL Scientific Writing Workshop	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	Liberia Writing Workshop screenshot	Liberia Writing Workshop_(ScreenShot - WebVersion).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Survey Fast Track Application - PREVAIL	Survey Fast Track Application - PREVAIL - 2017.01.25 rev.doc	01/30/2017
Liberia Writing Workshop Word document	Liberia Writing Workshop_v3.docx	01/30/2017

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