View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Collection of Participant Feedback for the virtual Mary Frances Picciano Dietary Supplement Research Practicum (DSRP) on May 22–24, 2023 (OD)	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	Survey	Practicum_FeedbackSurvey_5-4-2023.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: 730	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

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	730	0	730	0	0	0
Annual IC Time Burden (Hours)	61	0	61	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Template	0925-0648_exp.6.2024_ODS_PracticumFeedback_5-8-2023 (002).docx	05/08/2023
Email	NIH_Practicum_SurveyInviteEmailText_5-8-2023.docx	05/08/2023

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