"The Nuts and Bolts of Group Randomized Trials" Participant Feedback Survey

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⚠️ Notice: This information collection may be referencing outdated material.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 "The Nuts and Bolts of Group Randomized Trials" Participant Feedback Survey Form
1 Survey/Monkey SurveyMonkey SBM Evaluation.pdf Form
Fast Track Template 2015 - GRT Pre-conference Workshop Evaluation_3212017.doc Fast track Template GRT Pre-Conference workshop IC Document

Information Collection (IC) Details

IC Title:	"The Nuts and Bolts of Group Randomized Trials" Participant Feedback Survey	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	Survey/Monkey	SurveyMonkey SBM Evaluation.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	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: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast track Template GRT Pre-Conference workshop	Fast Track Template 2015 - GRT Pre-conference Workshop Evaluation_3212017.doc	02/16/2018

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