View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Workshop Survey Feedback Form: Fellows and Trainees Workshop: Whole Person Health Research Careers (NCCIH)	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	2022 Fellows & Trainees Workshop feedback survey	NCCIH Fellows and Trainee Workshop Survey Form 2022_final.docx		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: 110	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	110	0	110	0	0	0
Annual IC Time Burden (Hours)	18	0	18	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
fast track for 2022 fellows & trainees workshop feedback	Fast Track Template_Survey_Fellows and Trainee Workshop_final.docx	07/18/2022
email outreach	Fellow and trainee workshop survey _Outreach email.docx	07/18/2022

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