NIH On the Move Need 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⚠️ Notice: This information collection may be referencing outdated material.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 NIH On the Move Need Survey Form
1 LD PRA Screenshots On the Move 073118-LD-PRA-Screen shots-On the Move.pdf Form
073118-LD-PRA-Email-NIH On the Move.docx Email Survey IC Document
073118-LD-PRA Request-On the Move Needs Assessment.doc NIH On the Move Need Survey IC Document

Information Collection (IC) Details

IC Title:	NIH On the Move Need 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	LD PRA Screenshots On the Move	073118-LD-PRA-Screen shots-On the Move.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12,305	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12,305	12,305
Annual IC Time Burden (Hours)	1,025	1,025
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Email Survey	073118-LD-PRA-Email-NIH On the Move.docx	08/03/2018
NIH On the Move Need Survey	073118-LD-PRA Request-On the Move Needs Assessment.doc	08/03/2018

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