View Information Collection (IC)
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View Information Collection (IC)
View Information Collection (IC)
IC Title:
Clinical Director 360 Feedback Survey (NINDS)
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
Clinical Director 360 Review Survey
NINDS Clinical Director 360 Evaluation Survey_V2.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:
253
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
253
0
253
0
0
0
Annual IC Time Burden (Hours)
42
0
42
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Clinical Director 360 Feedback Survey
Fast Track PRA for NINDS IRP Clinical Director 360 Review 2021_FINAL (2).docx
04/27/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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