2019 DOCLINE User Satisfaction Survey (NLM)

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⚠️ Notice: This information collection may be referencing outdated material.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 2019 DOCLINE User Satisfaction Survey (NLM) Form
1 DOCLINE Survey instrument 2019 DOCLINE Survey Instrument.pdf Form
NLM Fast Track ICR_2019 DOCLINE User Satisfaction Survey.doc fast track 2019 DOCLINE User Satisfaction Survey IC Document

Information Collection (IC) Details

IC Title:	2019 DOCLINE User Satisfaction Survey (NLM)	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	DOCLINE Survey instrument	2019 DOCLINE Survey Instrument.pdf		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
fast track 2019 DOCLINE User Satisfaction Survey	NLM Fast Track ICR_2019 DOCLINE User Satisfaction Survey.doc	04/12/2019

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