Children's Health Exposure Assessment Resource (CHEAR) Client Satisfaction Survey(NIEHS)

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Children's Health Exposure Assessment Resource (CHEAR) Client Satisfaction Survey(NIEHS) Form
1 CHEAR Client Satisfaction Survey CHEAR Client Satisfaction Survey 10.3.2017.docx Form
NIEHS CHEAR Client Satisfaction Survey Fast Track Template 2015.doc CHEAR Client Satisfaction survey fast track IC Document

Information Collection (IC) Details

IC Title:	Children's Health Exposure Assessment Resource (CHEAR) Client Satisfaction Survey(NIEHS)	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	1	CHEAR Client Satisfaction Survey	CHEAR Client Satisfaction Survey 10.3.2017.docx		No		Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75	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: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	19	19
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
CHEAR Client Satisfaction survey fast track	NIEHS CHEAR Client Satisfaction Survey Fast Track Template 2015.doc	02/14/2018

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