Feedback Survey Regarding Current State of Systems Science Approaches in Epidemiological Research

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0642 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Feedback Survey Regarding Current State of Systems Science Approaches in Epidemiological Research Form
1 Screenshot from survey to inform Workshop discussion Screenshots from Survey to Inform Workshop Discussion.docx Form
Fast Track for Systems Epi Workshop Survey_1.11.19_FINAL.docx Fast track for Systems Epi Workshop Survey IC Document
Survey_Email FINAL.docx survey email IC Document

Information Collection (IC) Details

IC Title:	Feedback Survey Regarding Current State of Systems Science Approaches in Epidemiological Research	Agency IC Tracking Number:

IC Status: Unchanged

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	Screenshot from survey to inform Workshop discussion	Screenshots from Survey to Inform Workshop Discussion.docx		Yes	Yes	Fillable Fileable

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: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast track for Systems Epi Workshop Survey	Fast Track for Systems Epi Workshop Survey_1.11.19_FINAL.docx	01/16/2019
survey email	Survey_Email FINAL.docx	01/16/2019

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