Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Human Genetics Resource Center Publication Survey (NINDS) New 700 350 0 Form 1 NOVISurvey NINDS Publication Survey
NCBI 2019 Protein Resource Needs Survey (NLM) New 500 42 0 Form and Instruction 1 NCBI 2019 Protein Resource Survey
"The Nuts and Bolts of Group Randomized Trials" Participant Feedback Survey New 30 5 0 Form 1 Survey/Monkey
2018 NLM SIS Emerging Adults Health Needs Assessment New 127 57 0 Form and Instruction 1 SIS Emerging Adults Focus Group Survey
2018 Train-the-Trainers (private) Feedback (OD) New 135 34 0 Form 1 2018 Train-the-Trainers Feedback form
2019 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Investigators Meeting Conference Assessment Survey (NINDS) New 1200 100 0 Form and Instruction 1 BRAIN PI Mtg - Event App Survey Screenshots
2019 CT.gov Website Usability Survey (NLM) New 110 18 0 Form 1 NLM 2019 CT Usability Survey
2019 Clin Var User Survey (NLM) New 600 50 0 Form 1 2019 ClinVar Survey
2019 DOCLINE User Satisfaction Survey (NLM) New 200 50 0 Form 1 DOCLINE Survey instrument
2019 Data Science Services Survey (NLM) New 90 8 0 Form and Instruction 1 Data Science Survey
2019 Genetics Home Reference Survey (NLM) New 2000 100 0 Form 1 GHR Survey Instrument
2019 NCBI BioProject/BioSample Survey (NLM) New 400 33 0 Form 1 NCBI BioProject BioSample Survey
2019 NLM ClinicalTrials.gov Website Survey New 400 100 0 Form 1 Clinical trials website survey
2019 NLM MedlinePlus Awareness Survey New 2000 133 0 Form 1 MedlinePlus Survey Instrument
2019 Nonprofit Forum on-site meeting feedback (NINDS) New 200 33 0 Form and Instruction 1 2019 Nonprofit Forum on-site meeting feedback survey
2019 Occupational Illness and Injury Prevention Survey (OD) New 3500 292 0 Form and Instruction 1 ED DOHS OIIP Survey screenshot
2019 PubMed User Satisfaction Survey (NLM) New 1000 83 0 Form 1 PubMed User Survey Instrument
Alcohol Research Current Review Author Feedback phone call New 12 6 0 Form and Instruction 1 NIAAA Author Feedback Call
Amgen-alumni WhereAreYouNow (OITE) New 440 220 0 Form 1 OMBFT-Amgen-Alumni-WhereAreYouNow
Assist User Experience New 100 17 0 Form and Instruction 1 Assist User Experience
BYOMM After Action Report (NIMHD) New 600 50 0 Form 1 BYOMM After Action
Basic Electronic Survey to Inform Development of a Nursing Research Brochure New 100 25 0 Form and Instruction 1 Survey Screenshots
Form and Instruction 1 Survey Instrument
Benefits & Payroll Liaison Branch (BLPB) Customer Satisfaction Survey New 150 13 0 Form and Instruction 1 Retiree Survey
Brother Your On My Mind (BYOMM) Knowledge Attitudes and Belief (KAB) (NIMHD) New 600 50 0 Form and Instruction 1 BYOMM KAB
CSR New Chair Orientation Survey New 500 8 0 Form and Instruction 1 CSR New Chair Orientation
Change Readiness Survey (OD) New 2150 179 0 Form and Instruction 1 ChangeReadiness Survey screenshot
Children's Health Exposure Assessment Resource (CHEAR) Client Satisfaction Survey (NIEHS) New 75 19 0 Form 1 CHEAR Client Satisfaction survey
Children's Health Exposure Assessment Resource (CHEAR) Client Satisfaction Survey(NIEHS) New 75 19 0 Form 1 CHEAR Client Satisfaction Survey
Customer Satisfaction Survey for the Innovative Clinical Trials Resource (ICTR) Website New 50 4 0 Form 1 Innovative Clinical Trials Resource (ICTR) screenshot
Division of Scientific Equipment and Instrumentation Services (DSEIS) Maintenance and Repair Services Survey New 300 25 0 Form 1 DSEIS PRA Screenshots
Division of Senior and Scientific Executive Management (DSSEM) Application and Interview Satisfaction Survey New 50 4 0 Form and Instruction 1 DSSEM Application and Interview Survey
Division of Veterinary Resources Customer Satisfaction Survey (OD) New 40 3 0 Form and Instruction 1 GDB screenhots
DrugAbuse.gov Website Feedback Survey New 12000 200 0 Form and Instruction 1 NIDA- Website Feedback Survey Screenshots
Editing Service Customer Feedback Survey (NIHL) New 300 35 0 Form 1 Survey
Feedback on NIH Common Fund's High Risk, High-Reward Research Symposium (OD) New 200 20 0 Form 1 HRHR Symposium Satisfaction Survey
Feedback on NIH Common Fund's High-Risk, High-Reward Research Symposium (OD) New 537 63 0 Form 1 HRHR Symposium survey 2018
Focus Group for Primary Care Providers Regarding Alcohol Treatment (NIAAA) New 42 20 0 Form and Instruction 1 Navigator Screener Round 2
Form and Instruction 2 Physicians Moderator Guide
HMD 2018 Exhibition Program Web Usability Study New 30 30 0 Form and Instruction 1 HMD 2018 Exhibition Web Usability Study Instrument
HMD 2018 Traveling Exhibition Host Survey New 750 250 0 Form 1 NLM HMD 2018 Traveling Exhibition Host Survey
HR Systems Support (HRSS) Customer Satisfaction Survey New 25 2 0 Form and Instruction 1 NIH HRSS Customer Satisfaction Survey
Health Information Technology Patient Satisfaction Survey (CC) New 3000 250 0 Form 1 Patient Portal Online Survey Screenshot
Health Science Data Needs Assessment (NLM) New 200 50 0 Form 1 Health Science Data Needs As survey instrument
Health Science Data Needs Assessment (NLM) New 200 50 0 Form and Instruction 1 Health Science Data Needs Assessment
Intramural Research Program Office of Fellowship Training (OFT) Annual Trainee Survey (NIMH) New 66 11 0 Form and Instruction 1 NIMH OFT Annual Trainee Survey Questions
KAI Data and Saftey Monitoring Meeting E New 300 50 0 Form 1 KAI Research Questions for NIAMS Customer Survey
Literature Search Customer Feedback Survey (NIH Library) New 300 35 0 Form and Instruction 1 Literature Survey
Medicine: NIH Mind the Gap Webinar Series Survey II New 300 25 0 Form 1 MtG Customer Satisfaction Survey
NCBI 2017 Website User Survey New 10500 350 0 Form and Instruction 1 NCBI 2017 Website User Survey Instrument
NCBI 2018 Gene Resource Survey (NLM) New 400 33 0 Form 1 NCBI 2018 Gene Resource Survey Instrument
NCBI 2019 Genome Resource Survey (NLM) New 700 58 0 Form and Instruction 1 NCBI 2019 Genome Survey
NCBI 2019 Identical Protein Groups (NLM) New 300 20 0 Form and Instruction 1 NCBI IPG survey
NCBI 2019 Run Selector Survey (NLM) New 500 33 0 Form 1 NCBI Run Selector Survey Instrument
NCBI ClinVar 2017 Website User Survey (NLM) New 600 50 0 Form 1 NCBI ClinVar 2017 Survey instrument
NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Federal) New 238 20 0 Form 1 PEPH Aware-Act-Use Survey
NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Ind. and Households) New 292 24 0 Form 1 PEPH Aware Act Use Survey
NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (State and Local) New 50 4 0 Form 1 PEPH Aware Act Use Survey
NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use Private Sector New 266 22 0 Form 1 PEPH Aware Act Use Survey
NIH IT Service Desk Customer Satisfaction Survey (CIT) New 40000 3333 0 Form 1 CIT Customer Satisfaction Survey Form
NIH Library Customer Satisfaction Survey New 100 3 0 Form and Instruction 1 Survey with Burden Disclosure Statement
NIH Library Instruction Customer Feedback Survey (NCI) New 300 35 0 Form 1 NIH Library Screenshot
NIH Library Survey on Electronic Lab Notebook Usage in NIH Intramural Labs New 100 8 0 Instruction
Form 1 ALivinski Library Survey Screenshots
NIH Office of Intramural Training & Education (OITE) - General Feedback Forms New 10600 530 0 Form 2 General Feedback Collection form
NIH Office of Intramural Training & Education (OITE) - Graduate & Professional School Fair Feedback New 1700 142 0 Form 1 Graduate & Professional School Fair Feedback Collection
NIH Office of Intramural Training & Education (OITE) - Management Boot Camp Feedback New 90 5 0 Form 1 Management Boot Camp form
NIH Office of Intramural Training & Education (OITE) - NIH Native American Visit Week Feedback New 10 1 0 Form 1 NAVisit week Collection
NIH Office of Intramural Training & Education (OITE) 2018 Feedback Career Symposium New 1475 124 0 Form 1 Career Symposium Collection Form
NIH Office of Intramural Training & Education (OITE) Community College Day Feedback New 700 117 0 Form 1 Community College Day feedback
NIH Office of Intramural Training & Education (OITE) – Amgen Scholars at NIH Feedback (OD) New 20 5 0 Form 1 Amgen Scholars Feedback survey
NIH Office of Intramural Training & Education (OITE) – Career Service Center Feedback New 300 15 0 Form 1 2018 Feedback Career Service Center
NIH On the Move Need Survey New 12305 1025 0 Form 1 LD PRA Screenshots On the Move
NIMH Information Resource Center (IRC) Customer Satisfaction Surveys for Email Information Services, Online Publications Ordering Services and Telephone Services New 2020 100 0 Form 1 Telephone Service Customer Satisfaction survey
Form 2 Email Service survey
Form 3 Online Publication Ordering Survey
NIMH Website Survey New 10000 2500 0 Form 1 NIMH Website Survey Screenshots
NLM 2018 Exhibition Program Web Portal Usability Study (General Public) New 5 5 0 Form 1 NLM Exhibition Program Portal Usability Study Instrument
NLM 2018 Exhibition Program Web Portal Usability Study (Private Sector) New 20 20 0 Form 1 NLM Exhibition Program Portal Usability Study Instrument
NLM 2018 Public Libraries Association Survey New 200 17 0 Form and Instruction 1 2018 Public Libraries Survey instrument
NLM 2018 UMLS User Satisfaction Survey New 13000 1517 0 Form and Instruction 1 UMLS 2018 User Survey
NLM GeneEd User Survey New 200 17 0 Form 1 GeneEd User Survey
NLM MedlinePlus Website Usability Survey New 120 10 0 Form and Instruction 1 User Survey Instrument NLM MedlinePlus Website
NLM NCBI 2018 BLAST Survey New 1000 183 0 Form 1 NCBI 2018 Blast Survey
NLM NCBI 2018 Data Submission Survey New 500 50 0 Form 1 NCBI Submission Survey
NLM NCBI 2018 Genetics and Population Frequency Data Survey New 300 10 0 Form 1 NCBI 2018 Genetics and Population Frequency Data Survey
NLM NCBI 2018 Graphical Sequence Survey New 700 82 0 Form 1 Graphical Sequence Display Survey
NLM NCBI 2018 Literature Resources Survey New 1500 50 0 Form and Instruction 1 NCBI 2018 Literature Resources Survey
NLM NCBI 2018 Microbial Genome Resources Survey New 500 58 0 Form and Instruction 1 NCBI Microbial Genome Resources Survey
NLM NCBI 2018 Population Frequency Data Survey New 350 23 0 Form and Instruction 1 NLM NCBI 2018 Population Frequency Data Survey
NLM NCBI 2018 PubChem Resources Survey New 500 50 0 Form 1 NCBI 2018 PubChem Survey Instrument
NLM NCBI 2018 Representative Genomes Survey New 250 8 0 Form and Instruction 1 NCBI 2018 Representative Genomes Survey
NLM NCBI 2018 Transcript Resources Survey New 1100 147 0 Form 1 NCBI 2018 Transcript Resources Survey
NLM SIS Disaster Information Specialization Survey New 134 34 0 Form and Instruction 1 DIS Survey Instrument
NLM Site-wide Survey for Website Satisfaction Rating 2019 New 25000 833 0 Form 1 NLM Site-wide Survey for Website Satisfaction Rating 2019
NLM Site-wide Survey for Website Satisfaction Rating 2019 New 25000 833 0 Form and Instruction 1 NLM Site-wide Survey for Website Satisfaction Rating 2019
NLM Toxnet 2018 Workshop Survey New 120 30 0 Form and Instruction 1 NLM TOXNET 2018 Workshop 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 and Instruction 1 NLM Website Survey Instrument
NLM Websites User Satisfaction 2018 Survey New 15000 500 0 Form 1 NLM Websites Survey
National Eye Institute (NEI) Eye Health Focus Groups with New Audiences Ages 25-35 New 288 173 0 Form and Instruction 1 New Aud FG Attachment A Screnner
Form and Instruction 2 Guide New Aud Attachment B
National Institute of Mental Health (NIMH) Core Facility User Survey New 85 9 0 Form 1 NIMH Core User Survey template
National Institute of Mental Health (NIMH) Outreach Partnership Program Annual Meeting Assessment Form New 82 14 0 Form 1 2018 OPP Mtg Assessment Form
National Institute of Mental Health (NIMH) Professional Coalition for Research Progress Meeting Assessment Form New 65 2 0 Form and Instruction 1 NIMH Professional Coalition for Research Progress Meeting Assessment Form
ODP Pathways to Prevention Workshop Survey III New 600 100 0 Form 1 P2P Post Survey Screenshots
ODP Pathways to Prevention survey New 150 25 0 Form 1 P2P Survey screenshots
OIT Training Customer Satisfaction Survey (OD) New 50 4 0 Form 1 OITBrownBag survey
ORDR Usability Testing of Web Resources for Rare Disease Patients (NCATS) New 75 18 0 Form and Instruction 1 NCATS GARD RDD Test Plan
Form and Instruction 2 NCATS RaDaR RDD Test Plan
Form and Instruction 3 NCATS Toolkit RDD Test Plan
Office of Dietary Supplements' Customer Feedback Assessment for ODS Scholars Awardees and Administrative Supplement Grantees (OD) New 122 39 0 Form 1 ODS Scholars Feedback Survey
Form 2 ODS Administrative Supplement survey
Office of Human Resources (OHR) Climate Survey New 270 45 0 Form and Instruction 1 2017 OHR Climate Survey
Office of Human Resources (OHR) Pulse Survey New 30 2 0 Form and Instruction 1 OHR Pulse Survey
Office of Human Resources (OHR) Training Survey New 40 4 0 Form and Instruction 1 P2P Survey Screenshots
Office of Intramural Training & Education (OITE) – How to Teach and Advise on Career Development Topics for the Next Generation of Biomedical Scientists: A Train-the-Trainers Event New 15 4 0 Form 1 2018 Train-the-Trainers- (Federal) Feedback form
Participant Feedback for the Mary Frances Picciano Dietary Supplement Research Practicum (DSRP) on May 29–31, 2019 at the Lister Hill Auditorium (NLM) New 375 219 0 Form and Instruction 1 Evaluation Day 1 screenshot
Form and Instruction 2 Evaluation Day 2 screenshot
Form and Instruction 3 Evaluation Day 3 screenshot
Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Federal Government) New 238 20 0 Form and Instruction 1 PEPH Aware Act Use Survey
Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Individuals and Households) New 292 24 0 Form and Instruction 1 PEPH Aware Act Use Survey Final
Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Private Sector) New 266 22 0 Form and Instruction 1 PEPH Aware Act Use Survey
Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (State, Local, and Tribal) New 50 4 0 Form and Instruction 1 PEPH Aware Act Use Survey Final
Pathways to Prevention - Non-profit New 350 58 0 Form 1 P2P Survey screenshots
Patient Perception Survey (CC) New 7500 3750 0 Form 1 NIH Inpatient Mock-up - NRC Health
Form 2 NIH Outpatient Mock-up -NRC Health
Pediatric Patient Perception Survey (CC) New 5000 2500 0 Form 1 NRC NIH Inpatient Pediatric Survey
Perception of Cool Down Day Survey New 2088 174 0 Form and Instruction 1 Cool Down Day BDS
Questionnaire for assessing the needs to innovate, build, modify and fix laboratory tools & equipment (NIEHS) New 200 17 0 Form 1 Equipment Survey
Quick Feedback Center for Scientific Review (QFCSR) New 3000 50 0 Form 1 QFCSR Fall 2018
Regional Workshop: Alternative Approaches to Combating Anti-Microbial Resistance (AMR) (NIAID) New 70 6 0 Form and Instruction 1 Post WorkshopEvaluation --US-KZ AMR 2019 screenshots
Rocky Mountain Lab - Family Care Survey 2019 (ORS/OD) New 450 75 0 Form and Instruction 1 RML Family Care Survey Screenshot
SR Maximizing Value 3Month Post (ORS/OD) New 1200 100 0 Form and Instruction 1 KOliver Screenshots
Scientific Research (SR) Maximizing Value (ORS/OD) New 2400 200 0 Form and Instruction 1 Pre-Presentation Survey screenshot
Form and Instruction 2 Post-Presentation screenshot
Soliciting Feedback About the National Institutes of Health (NIH) Office of the Director (OD) Office of Research Services (ORS) Division of Occupational Health and Safety (DOHS) Website (OD) New 1600 133 0 Form and Instruction 1 DOHS survey screenshot
Soliciting Feedback on the Omics Nursing & Education Network (ONSEN) Website (NINR) New 200 33 0 Form and Instruction 1 ONSEN survey
Statistics Customer Feedback Survey (NIH Library) New 300 35 0 Form 1 Statistics CS Survey
Survey to Assess the Quality of Grant Review Among NIH Center for Scientific Review Reviewers (CSR) New 2000 133 0 Form 1 Survey
Surveys to Support Assessment of the National Institute of Diabetes and Digestive and Kidney Diseases Office of Minority Health Research Coordination's Research and Training Opportunities for Students New 2196 732 0 Form and Instruction 1 STEP UP survey screenshot
Surveys to Support Assessment of the National Institute of Diabetes and Digestive and Kidney Diseases Office of Minority Health Research Coordination's Research and Training Opportunities for Students New 200 66 0 Form 1 DSTRP survey instrument
Technology Transfer and Intellectual Property Officer (TTIPO) Fellowship Program Survey (NIAID) New 55 10 0 Form 1 TTIPO Fellowship Survey screenshots
The Annual NIH Pain consortium Symposium Feedback New 40 2 0 Form 1 Pain 2015 Survey Monkey
The NIH Extramural Loan Repayment Programs: Online Customer Service Survey About the Application Technical Assistance Webinar New 24 2 0 Form 1 FY2019 LRP Webinar Survey
The NINDS Public Site Widget New 30 2 0 Form 1 NINDS Public Site Widget screenshot
Website Survey for Website Satisfaction Rating (NIAAA) New 25000 2083 0 Form and Instruction 1 NIAAA Website Survey Screenshot
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 42 0 Form and Instruction 1 WiTS Focus Group Instrument
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 292938 27887 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
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