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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Assessment of the NIAID Supported Partnerships Program
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 and Instruction
1
Telephone follow up script SCREENER
Partnerships Program Evaluation Telephone follow up script SCREENER 8.13....docx
Yes
Yes
Fillable Fileable
Form and Instruction
2
Paper Interview Survey
Partnerships Program Evaluation Paper Survey Instrument July 31 2014.docx
No
Paper Only
Form and Instruction
3
Telephone interview survey
Partnerships Program Evaluation Telephone Script and Phone Survey Instru....docx
No
Fillable Fileable
Form and Instruction
4
Online Survey
NIH_NIAID_DMID Partnerships Program Survey Screen Shots_2014-08-20.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
570
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
570
0
570
0
0
0
Annual IC Time Burden (Hours)
128
0
128
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Assessment of the NIAID Supported Partnerships Program
generic_clearance_REV 8 27 2014 DMID Partnerships.doc
08/27/2014
Partnership Program Evaluation Email Invitations
Partnerships Program Evaluation Email invitations 8.13.2014.docx
08/27/2014
Partnership Program Evaluation Letter sent with Paper
Partnerships Program Evaluation Invitation letter to be sent with Paper ....docx
08/27/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.