Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
"The Nuts and Bolts of Group Randomized Trials" Participant Feedback Survey New 30 5 0 Form and Instruction 1 SurveyMonkey SBM Evaluation
2015 NIH Single Cell Analysis Investigators Meeting Survey New 20 7 0 Form and Instruction 1 2015 NIH Single Cell Analysis Investigators Meeting Survey
2016 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Principle Investigators' (PI) Meeting Post-Conference Evaluation Survey New 1000 83 0 Form and Instruction 1 2016 BRAIN PI Meeting Survey Screenshots
2016 HHS Learning Portal (LMS) User Survey New 150 13 0 Form 1 2016 HHS Learning Portal (LMS)
2017 GSRP Website Survey Applicant New 26 4 0 Form 1 2017 GSRP Website Survey
2017 Graduate Student Recruitment Program (GSRP) New 26 9 0 Form 1 2107 GSRP Survey
2018 NLM SIS Emerging Adults Health Needs Assessment New 127 57 0 Form and Instruction 1 SIS Emerging Adults Focus Group survey instrument
Form 2 SIS Emerging Adults Web Based Survey instrument
Analytical Methods and Reference Materials Program Stakeholder Interviews (For Profit) New 15 5 0 Form and Instruction ODS Interview Guide for AMRA Stakeholders 1
Analytical Methods and Reference Materials Program Stakeholder Interviews (Not for Profit) New 10 3 0 Form and Instruction 1 ODS Interview Guide for AMRA Stakeholders
Awardees Feedback Survey on NHLBI PAR-10-005 and PAR-13-002, NHLBI Clinical Trial Pilot Studies (R34) New 29 29 0 Form and Instruction 1 Email Survey
Basic electronic survey to inform development of a nursing research brochure (NINR) New 100 25 0 Form and Instruction 1 NINR Survey instrument
Form and Instruction 1 NINR Survey screenshots
Benefits & Payroll Liaison Branch (BLPB) Customer Satisfaction Survey New 150 13 0 Form 1 Retiree Survey
Brother, You're on My Mind (BYOMM) After Action Report New 600 50 0 Form and Instruction 1 BYOMM After Action
Brother, You're on My Mind (BYOMM) Knowledge Attitudes and Believes Form New 600 50 0 Form and Instruction 1 BYOMM KAB Form
CSR Poll on Grant Award Productivity using the Relative Citation Ratio (RCR) New 3000 100 0 Form 1 CSR Questions MAG
CSR Website Redesign Novice Applicants & Reviewer Interviews New 10 10 0 Form 1 Applicant survey
Form 2 Reviewer questions
CTSU Website Customer Satisfaction Surveys New 600 100 0 Form and Instruction 1 1 NCA Survey
Form and Instruction 1 2 General CTSU Website Survey
Career Symposium Feedback New 1475 124 0 Form and Instruction 1 CAREER SYMPOSIUM FEEDBACK
Chair Survey New 300 10 0 Form and Instruction 1 Chair Fair Survey
Other-E-mail
Change Readiness Survey New 300 25 0 Form 1 Change Readiness Survey
Children's Health Exposure Assessment Resource (CHEAR) Client Satisfaction Survey New 75 19 0 Form and Instruction 1 CHEAR Client Satisfaction Survey
Community Health Maps Project User Survey New 100 17 0 Form and Instruction 1 Survey Screenshots
Customer Feedback on NIH's Targeted Guidance for New Investigators New 1050 175 0 Form and Instruction 1 Survey Screenshot
Customer Satisfaction with the Contribution of Site Visits to Assess Institutional Training Grant Applications (NIGMS) New 67 11 0 Form 1 Sit Visit Survey Questions
DIS Immigration Conference Evaluation Survey New 50 4 0 Form 1 DIS Immigration Conference Evaluation Survey
Other-E-mail
DSSEM Application and Interview Satisfaction Survey New 50 4 0 Form and Instruction 1 DSSEM Application and Interview Survey
DVR Animal Services Needs Assessment New 10 1 0 Form 1 DVR Needs Assessment Survey
DVR Customer Service Survey - Animal Procurement New 70 6 0 Form 1 Animal Procurement Survey
DVR Customer Service Survey - Animal Transportation Services New 30 3 0 Form 1 FY17 Animal Transportation Survey
DVR Cutomer Service Survey - Animal Services New 250 63 0 Form 1 Animal Services Survey
Data and Safety Monitoring Meeting Evaluation New 300 50 0 Form and Instruction 1 KAI Research Questions for NIAMS Customer Survey
Form and Instruction 1 (Screenshots) KAI Research Questions for NIAMS Customer Survey
DrugAbuse.gov Website Feedback Survey New 12000 200 0 Form and Instruction 1 NIDA- Website Feedback Survey Screenshots
Drupal Implementation and Content Enhancement (DICE) Focus Groups New 300 45 0 Form 1 DICE Focus Group Questions
Educational Game Focus Group New 32 32 0 Form and Instruction 1 Screeners
Form and Instruction 2 Clinical Professional Consent Form and Script
Form and Instruction 3 Teacher Consent Form and Script
Form and Instruction 4 Parent Consent Form and Scriot
Form and Instruction 5 Child Assent Form
Forecasting Science Survey New 385 128 0 Form 1 Outsell NIH Forecasting Science Survey
Future Research Leaders Conference Survey New 80 13 0 Form and Instruction 1 FRLC pre-conference survey screenshot
Form and Instruction 2 FRLC Post-Conference Survey Screenshot
Future Research Leaders Conference –Communication Survey New 60 5 0 Form and Instruction 1 FRLC Communication Survey Screenshots
HHS SBIR/STTR Showcase Conference Feedback New 500 125 0 Form 1 HHS SBIR Showcase Event Feedback Form
HMD 2018 Exhibition Program Web Usability Study New 30 30 0 Form 1 HMD 2018 Exhibition Web Usability Study instrument
HR Systems Support (HRSS) Customer Satisfaction Survey New 25 2 0 Form and Instruction 1 HRSS Survey
Health Information Technology Patient Satisfaction Survey (CC) New 3000 250 0 Form and Instruction 1 Patient Portal Online Survey Screenshot
Human Resources Classification and Recruitment Documents System (HR CARDS) Survey New 275 23 0 Form 1 HRCARD Survey Questions
Influenza Vaccine Survey New 1400 47 0 Form 1 2016 Flu Survey
Information Management Team (IMT) Web Intercept Survey New 60 2 0 Form and Instruction 1 IMT Intercept survey Form
IntraHR Website Customer Satisfaction Survey New 60 2 0 Form and Instruction 1 IntraHR Customer Satisfaction Survey
KAI Annual Client Satisfaction Survey New 30 5 0 Form and Instruction 1 KAI Annual Client Survey Printscreens
LIS User Survey of NLM Resources New 192 32 0 Form and Instruction 1 NLM LIS User Survey Instrument
Other-Survey Invitation
LRP Ambassador Feedback New 1350 225 0 Form and Instruction 1 LRP Ambassador Feedback
LRP Qualitative Research New 50 25 0 Form and Instruction 1 LRP Qualitative Research
Medical Arts Branch (MAB) Services Survey New 100 10 0 Form and Instruction 1 Medical Arts Branch Survey
Other-Email
Medicine: Mind the Gap NIH Seminar Series Survey-For Profits New 150 13 0 Form and Instruction 1 Customer Satisfaction Survey
Medicine: Mind the Gap NIH Seminar Series Survey-Not-For-Profits New 150 13 0 Form and Instruction 1 Customer Satisfaction Survey
Medicine: NIH Mind the Gap Webinar Series Survey II New 300 25 0 Form 1 MtG Customer Satisfaction Survey - survey Monkey Screnshot
NCBI 2017 Sequence Database User Survey New 625 31 0 Form 1 NCBI Sequence Database User Survey
NCBI 2017 Website User Survey New 10500 350 0 Form 1 NCBI 2017 Website User Survey Instrument
NCBI 2018 Genetics and Population Frequency Data Survey (NLM) New 300 10 0 Form 1 NCBI 2018 Genetics and Population Frequency Data instrument
NCBI BLAST Web Services 2017 Survey New 300 25 0 Form 1 NCBI BLAST Web Services 2017 Survey Instrument
NCBI Medical Genetics and Variation Web Resources 2017 Survey New 400 7 0 Form 1 NCBI Medical Genetics 2017 Survey Instrument
NCCIH Customer Service Data Collection New 412 30 0 Form and Instruction 1 Telephone Survey
Form and Instruction 2 Email Survey
NCI OFSM Relocation Survey - Office New 128 4 0 Form 1 NCI OFSM Relocation Survey - Office Moves
NCI OSFM Conference Room Services Survey New 284 9 0 Form and Instruction 1 Survey
NCI OSFM Express Services Survey New 432 14 0 Form 1 Express Services Survey
NCI OSFM Fitness Center Survey New 536 18 0 Form 1 NCI OSFM Fitness Survey
NCI OSFM Relocation Survey- Lab New 128 4 0 Form 1 Lab Relocation
NCI OSFM Shuttle Service Survey New 1500 50 0 Form and Instruction 1 NCI OSFM Shuttle Service Survey Instrument
NCI OSFM Small Little Job (SLJ) Survey New 256 9 0 Form 1 Survey
NEI Health Focus Groups with New Audiences Ages 25-35 New 288 173 0 Form and Instruction 1 NEI Screener
Form and Instruction 2 NEI Mod Guide
NHLBI's Health Information Center (HIC) New 20900 1372 0 Form and Instruction 1 Survey Instrument IVR
Form and Instruction 2 Survey Instrument Web Questions
NIH Events Management – Audio Visual Survey New 60 5 0 Form and Instruction 1 FY 17 EM Audio Visual Survey
NIH Events Management – Post Production Survey New 60 5 0 Form and Instruction 1 FY17 EM Post Production Survey
NIH Events Management – Scheduling Services Survey New 60 5 0 Form and Instruction 1 FY17 EM Scheduling Services Survey
NIH Events Management – Video Production Survey New 60 5 0 Form and Instruction 1 FY17 EM Video Production Survey
NIH Library Customer Satisfaction Survey New 100 3 0 Form 1 Desk Survey May 2018
NIH Library Survey on Statistical Class Offerings New 100 8 0 Form 1 NIH Stats Survey 2017
NIH Library Survey: Weekend Library Use New 100 3 0 Form and Instruction 1 Weekend Use Nov 2017 Survey
NIH Native American Visit Week Feedback New 10 1 0 Form and Instruction 1 Survey Instrument
NIH Office of Intramural Training & Education (OITE) – Community College Day Feedback New 700 117 0 Form 1 OITE-OMBFT- Community College Day- Feedback Collection
NIH Office of Intramural Training & Education (OITE) – General Feedback Form New 10600 530 0 Form and Instruction 1 FEEDBACK ON AN OITE EVENT
Form and Instruction 2 CAREER SERVICES CENTER
NIH Office of Intramural Training & Education (OITE) – Graduate & Professional School Fair Feedback New 1700 142 0 Form 1 Graduate and Professional School Fair Feedback Collection
NIH Office of Intramural Training & Education (OITE) – Management Boot Camp Feedback New 90 5 0 Form and Instruction 1 MANAGEMENT BOOT CAMP FEEDBACK Form
NIH Research Training Institutes (RTIs) Customer Satisfaction Surveys New 3800 841 0 Form and Instruction 1 Applicants Survey
Form and Instruction 2 Faculty Survey
Form and Instruction 3 Trainee Survey
NIH Training Center Meeting Facilitation Survey New 60 5 0 Form and Instruction 1 NIHTC Training Evaluation- Meeting Facilitation
NIMH Information Resource Center (IRC) Customer Satisfaction Surveys for Email Information Services, Online Publications Ordering Services and Telephone Services New 2020 100 0 Form and Instruction 1 Email services survey
Form and Instruction 2 Online publications ordering services survey
Form and Instruction 3 Telephone services survey
NIMH Professional Coalition for Research Progress Meeting Assessment Form New 65 2 0 Form 1 Professional Coalition for Research Progress Meeting Assessment form
NIMH Website Survey New 10000 2500 0 Form and Instruction 1 NIMH Website Survey
NLM 2018 Public Libraries Association Survey New 200 17 0 Form 1 NLM 2018 Public Libraries urvey
NLM 4 Caregivers User Survey New 500 42 0 Form and Instruction 1 NLM 4 Caregivers 2016 User Survey Instrument
NLM AIDSource 2017 Survey New 200 17 0 Form 1 NLM AIDSource 2017 Survey
NLM ClinVar 2016 User Survey New 300 25 0 Form 1 NLM ClinVar 2016 User Survey Instrument
NLM ClinVar 2017 Website User Survey New 600 50 0 Form and Instruction 1 NLM NCBI ClinVar 2017 Survey Instrument
NLM Customer Service Satisfaction Survey New 375 31 0 Form and Instruction 1 Survey Instrument
NLM DOCLINE Customer Service Survey New 2200 440 0 Form and Instruction 1 NLM DOCLINE Customer Service Survey Instrument
NLM GHR User Study Screening Survey New 200 33 0 Form and Instruction 1 NLM GHR User Study Screening Survey Instrument
NLM Genetic Home Reference User Study New 16 16 0 Form and Instruction 1 NLM GHR Use Study Interview Instrument
NLM Google Survey for MedlinePlus Page Satisfaction Rating New 500 8 0 Form and Instruction 1 NLM MedlinePlus Google Survey Instrument
NLM Library Operations Customer Satisfaction Survey New 700 35 0 Form and Instruction 1 NLM LO Customer Service Survey Instrument
NLM Main Website Satisfaction Survey New 2500 42 0 Form 1 NLM Main Website Satisfaction Survey Instrument
NLM MedlinePlus Connect Customer Survey New 50 50 0 Form and Instruction 1 Survey
NLM MedlinePlus Page Google Survey Satisfaction Rating New 1000 17 0 Form and Instruction 1 NLM MedlinePlus Google Survey Instrument (screenshots)
NLM MedlinePlus RML User Survey New 120 30 0 Form 1 NLM Medline Plus RML User Survey Instrument
NLM MedlinePlus Website Usability Testing New 20 20 0 Form and Instruction 1 NLM MedlinePlus Usability Testing ICR Instrument
NLM NCBI 2018 Literature Resources Survey New 1500 50 0 Form 1 NCBI 2018 Literature Resources Survey
NLM NCBI 2018 Representative Genomes Survey New 250 8 0 Form 1 NCBI 2018 Representative Genomes survey instrument
NLM NCBI CCDS User Survey New 500 42 0 Form 1 NLM NCBI CDDS Survey Instrument
NLM NCBI ClinicalTrials.gov Website Usability Survey 2017 New 803 134 0 Form 1 NLM NCBI CT Usability Survey
NLM NCBI ClinicalTrials.gov Website User Survey New 1000 750 0 Form 1 NLM NCBI CT.gov Website User Survey Instrument
NLM NCBI GRC Website User Survey New 500 25 0 Form and Instruction 1 NLM NCBI GRC Website User Survey Instrument
NLM NCBI Gene Resources Website Survey New 267 200 0 Form and Instruction 1 NLM NCBI Gene Resources Website User Survey Instrument
NLM NCBI Health Resources Survey New 500 33 0 Form and Instruction 1 NLM NCBI Health Resource Survey screenshots
NLM NCBI Microbe Conference Survey New 120 10 0 Form and Instruction 1 NLM NCBI Microbe Conference Survey Instrument
NLM Project SHARE website assessment New 72 72 0 Form and Instruction 1 Focus Group Questions
Other-Consent Form
NLM Reading Rooms Satisfaction Survey New 269 22 0 Form and Instruction 1 Survey Screenshots
Form and Instruction 2 Survey (paper version)
NLM Survey for MedlinePlus Page Satisfaction New 3000 50 0 Form 1 NLM MedlinePlus Survey Instrument
NLM TOXNET 2018 Workshop Survey New 120 30 0 Form and Instruction 1 NLM Toxnet 2018 Workshop Survey Instrument
NLM ToxTutor User Survey New 500 25 0 Form and Instruction 1 NLM ToxTutor User Survey Instrument
NLM Traveling Exhibition Visitor Study New 125 31 0 Form and Instruction 1 NLM Traveling Exhibition Visitor Survey
NLM Website Survey for Website Satisfaction Rating New 20000 667 0 Form 1 NLM Websites Survey
National Institute of Dental and Craniofacial Research (NIDCR) Website Usability Study New 400 200 0 Form and Instruction 1 Usability Test Questions
National Institute of Dental and Craniofacial Research Focus Group Study New 72 72 0 Form and Instruction 1 NIDCR-FG Moderator Guide
Form and Instruction 2 NIDCR Focus Group Recruitment Screener
National Institute of Mental Health (NIMH) Employee Engagement Survey New 30 3 0 Form and Instruction 1 NIMH Employee Engangement Survey
National Institute of Mental Health (NIMH) Office of the Director and Extramural Programs Workforce Resource Analysis New 40 50 0 Form and Instruction 1 EX Workforace Analysis Focus Group Discussion Guide
Form and Instruction 1 EX Workforace Analysis Discussion Guide
ODP Pathways to Prevention Survey -For Profits New 150 25 0 Form and Instruction 1 Survey Screenshot
ODP Pathways to Prevention Survey -Not For Profits New 350 58 0 Form and Instruction 1 Survey Screenshot
ODP Pathways to Prevention Survey II New 800 133 0 Form 1 Obesity Methods P2P Survey
OER Intercept survey New 12000 1000 0 Form 1 OER Intercept Survey questions
OHR Website Customer Satisfaction Survey New 100 8 0 Form 1 OHR Website survey
OM All Hands Meeting Survey New 150 13 0 Form and Instruction 1 OM All Hands Survey
ORF Workplace Aesthetic Survey (OD) New 2500 208 0 Form and Instruction 1 NIH Rockledge Visual Vocabulary Survey
Office of Human Resources (OHR) Climate Survey New 270 45 0 Form 1 2017 OHR Climate Survey
Office of Human Resources (OHR) Pulse Survey New 30 3 0 Form and Instruction 1 OHR Pulse Survey
Office of Human Resources (OHR) Training Survey New 40 4 0 Form and Instruction 1 HR Training Survey
Ombudsman Services Feedback Survey New 15 1 0 Form and Instruction 1 NIH OOCCR Feedback Survey
Online Customer Service Survey About The Application Technical Assistance Webinar New 200 13 0 Other-Invitation Email
Form and Instruction 1 LRP Webinar Survey
Outcomes of IDeA Core Optimization Administrative Supplements New 34 34 0 Form 1 NIGMS CRCB IDeA Core Supplement Follow-up Questions
Participant Feedback on 2016 NIH Common Fund High-Risk, High-Reward Research Symposium New 185 15 0 Form and Instruction 1 Survey 2016 HRHR Symposium screenshot
Participant Feedback on 2017 NIH Common Fund 2017 Stimulating Peripheral Activity to Relieve Conditions (SPARC) Research Program Annual Awardee Meeting New 95 8 0 Form and Instruction 1 Survey screenshot
Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Federal Government) New 238 20 0 Form 1 PEPH Aware-Act-Use
Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Private Sector) New 266 22 0 Form 1 PEPH Aware-Act-Use Survey
Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (State, Local or Tribal) New 50 4 0 Form 1 PEP Aware-Act-Use survey
Partnerships for Environmental Public Health Program (PEPH) Aware-Act-Use Survey (Individuals/households) New 292 24 0 Form 1 PEPH Aware-Act-Use instrument
Pathways for Teamwork Customer Satisfaction Interviews New 24 24 0 Form 1 Needs Analysis Interview Protocol
Patient Perception Survey (CC) New 7500 3750 0 Form and Instruction 1 NIHAIP Survey Mock-up - NRC Health
Form and Instruction 2 NIHAOP Survey Mock-up - NRC Health
Pediatric Patient Perception Survey (CC) New 5000 2500 0 Form and Instruction 1 NRC NIH IP P Survey
Pragmatic & Group-Randomized Trials (GRT) in Public Health & Medicine Participant Feedback Survey: Parts 1-7 New 700 117 0 Form 1 MOOC Survey
PubMed Search User Survey New 300 25 0 Form and Instruction 1 NLM PubMed Search User Survey
Qualitative Research to Explore Barriers and Facilitators for LRP Ambassadors to Promote the NIH Loan Repayment Programs New 35 18 0 Form and Instruction 1 Key Informant Interview Guide
Shuttle Bus Survey for Fishers Lane New 2545 424 0 Form and Instruction 1 OAS Shuttle Survey Screenshots
The Annual NIH Pain Consortium Symposium Feedback (For Profit) New 20 1 0 Form and Instruction 1 Pain Survey
The Annual NIH Pain Consortium Symposium Feedback (Not For Profit) New 20 1 0 Form and Instruction 1 Pain Survey
The NIH Director's Blog Readership Survey New 1000 167 0 Form and Instruction 1 NIH Blog Survey
The NIH Director's Blog Readership Survey New 1000 83 0 Form 1 Survey
The NIH Extramural Loan Repayment Programs: Online Customer Service Survey About the Application Technical Assistance Webinar New 40 3 0 Form and Instruction 1 FY2018 LRP Webinar Survey
The NIH Extramural Loan Repayment Programs: Online Post-Application Customer Service Survey for Applicants – Form A New 594 40 0 Form and Instruction 1 LRP Survey for Applicants Form A- Screenshots
Other-email
The NIH Extramural Loan Repayment Programs: Online Post-Application Customer Service Survey for Applicants – Form B New 594 40 0 Form and Instruction 1 LRP Survey for Applicants Form B- Screenshot
Other-Email
The NIH Extramural Loan Repayment Programs: Online Post-Application Customer Service Survey for Applicants – Form C New 594 40 0 Form and Instruction 1 LRP Survey for Applicants Form C-Screenshots
Other-email
The NIH Extramural Loan Repayment Programs: Online Post-Application Customer Service Survey for Award Applicants New 810 68 0 Form and Instruction 1 LRP Survey for Mentors-Screenshots 2
Other-Invitation Email
The NIH Extramural Loan Repayment Programs: Online Post-Application Customer Service Survey for Institutional Business Officials (IBOs) New 600 20 0 Form and Instruction 1 LRP IBO Survey- Screenshots
Other-Invitation Email
The NIH Extramural Loan Repayment Programs: Online Post-Application Customer Service Survey for Mentors New 1440 48 0 Form and Instruction 1 LRP Survey for Mentors- Screenshots
Other-Invitation Email
The NIH Extramural Loan Repayment Programs: Online Post-Application Customer Service Survey for Recommenders/Referees New 3120 104 0 Form and Instruction 1 LRP Referee Survey- Screenshots
Other-Invitation Email
Traveling Exhibition Host Survey New 350 117 0 Form and Instruction 1 Host Survey
Other-Email
US-Japan Cooperative Medical Sciences Program (USJCMSP) 50th Anniversay and 18th International Conference on Emerging Infectious Diseases in the Pacific Rim New 150 38 0 Form and Instruction 1 USJCP Meeting screenshots
Form and Instruction 2 USJCP Meeting feedback form
Usability testing for PHPartners.org website New 40 30 0 Form and Instruction 1 Survey Screenshot
Variation Resources Survey New 50 2 0 Form and Instruction 1 NLM Variation Resources User Survey
WiTS Climate Survey 2015 New 40 3 0 Form and Instruction 1 2015 WiTS Climate Survey
Workflow Information Tracking System (WiTS) Focus Groups New 28 11 0 Form 1 WiTS Focus Group instrument
Workflow information Tracking System (WiTS) Focus Groups (OD) New 28 42 0 Form and Instruction 1 WiTS Focus Group
Workplace and Organizational Performance Survey New 708 177 0 Form and Instruction 1 Workplace Organizational Performance Survey
Workstyle Survey New 300 30 0 Form and Instruction 1 Qualtrics Print
Other-Survey Email
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 182667 21618 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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