View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View Generic ICR - OIRA Conclusion
OMB Control No:
0925-0648
ICR Reference No:
202104-0925-001
Status:
Historical Inactive
Previous ICR Reference No:
202102-0925-005
Agency/Subagency:
HHS/NIH
Agency Tracking No:
Title:
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Improperly submitted and continue
Conclusion Date:
04/29/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/22/2021
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2021
05/31/2021
06/30/2021
Responses
1,059,000
0
1,059,000
Time Burden (Hours)
147,999
0
147,999
Cost Burden (Dollars)
0
0
0
Abstract:
This collection of information is necessary to enable the National Institutes of Health to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the agency's programs.
Authorizing Statute(s):
EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
82 FR 60754
12/22/2017
30-day Notice:
Federal Register Citation:
Citation Date:
83 FR 11219
03/14/2018
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
289
IC Title
Form No.
Form Name
Automated Business Processes – Scoping Survey (NICHD)
1
Automated Business Processes Survey screenshot
Human Genetics Resource Center Publication Survey (NINDS)
1
NOVISurvey NINDS Publication Survey
Input Survey for DEBUT Program (NIBIB)
1
DEBUT survey
NCBI 2019 Protein Resource Needs Survey (NLM)
1
NCBI 2019 Protein Resource Survey
NCBI 2020 BLAST User Survey (NLM)
1
NCBI 2020 BLAST User Survey Instrument
Office of Intramural Training & Education (OITE) – Postbaccalaureate Training Program (PBT) - Feedback (OD)
1
PBT feedback screenshot
"The Nuts and Bolts of Group Randomized Trials" Participant Feedback Survey
1
Survey/Monkey
.ICARE Dialogues Customer feedback pre- and post-session surveys (OLAW/OD)
1, 2
Survey Part 1 Pre-session
,
Survey Part 2 Post-session
2018 NLM SIS Emerging Adults Health Needs Assessment
1
SIS Emerging Adults Focus Group Survey
2018 Train-the-Trainers (private) Feedback (OD)
1
2018 Train-the-Trainers Feedback form
2019 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Investigators Meeting Conference Assessment Survey (NINDS)
1
BRAIN PI Mtg - Event App Survey Screenshots
2019 CT.gov Train-the-Trainer Workshop Feedback Survey (NLM)
1
CT.gov Train-the-Trainer Survey
2019 CT.gov Website Usability Survey (NLM)
1
NLM 2019 CT Usability Survey
2019 Clin Var User Survey (NLM)
1
2019 ClinVar Survey
2019 Common Data Elements (CDE) Repository User Interviews (NLM)
1
2019 CDE User Interview instrument
2019 DOCLINE User Satisfaction Survey (NLM)
1
DOCLINE Survey instrument
2019 Data Science Services Survey (NLM)
1
Data Science Survey
2019 Genetics Home Reference Survey (NLM)
1
GHR Survey Instrument
2019 Medical Subject Headings (MeSH) Resources Website Survey (NLM)
1
2019 MeSH Survey
2019 NCBI BankIt GenBank Survey (NLM)
1
2019 NCBI BankIt Survey Instrument
2019 NCBI BioProject/BioSample Survey (NLM)
1
NCBI BioProject BioSample Survey
2019 NCBI ClinVar User Feedback Survey (NLM)
1
NCBI ClinVar Survey
2019 NCBI Cloud Services Feedback Survey (NLM)
1
2019 NCBI Cloud Feedback Survey
2019 NIH Common Fund Stimulating Peripheral Activity to Relieve Conditions (SPARC) Program and Award Management Process Feedback (DPCPSI/OD)
1
2019 SPARC Program and Award Management Survey screenshots
2019 NLM ClinicalTrials.gov Website Survey
1
Clinical trials website survey
2019 NLM MedlinePlus Awareness Survey
1
MedlinePlus Survey Instrument
2019 National Center for Biotechnology Information (NCBI) BLAST Survey (NLM)
1
2019 NCBI BLAST Survey
2019 Nonprofit Forum on-site meeting feedback (NINDS)
1
2019 Nonprofit Forum on-site meeting feedback survey
2019 Occupational Illness and Injury Prevention Survey (OD)
1
ED DOHS OIIP Survey screenshot
2019 Protocol Registration and Results System (PRS) Feedback Survey (NLM)
1
PRS Feedback Survey
2019 PubMed User Satisfaction Survey (NLM)
1
PubMed User Survey Instrument
2019 Website Usability Survey (NIAAA)
1
NIAAA First Click Testing
2019 Website Usability Survey (NIDA)
1
Drugabuse.gov First-Click test
2020 BPCA Post Stakeholders Meeting Assessment (NICHD)
1
2020 BPCA Stakeholder Post Mtg Assmt Survey
2020 CT.gov Focus Group Survey (NLM)
1
CT.gov Focus Group Guide
2020 Common Data Elements (CDE) User Satisfaction Survey (NLM)
1
NLM 2020 CDE User Survey Instrument
2020 Common Data Elements Repository (CDER) Website Usability Testing (NLM)
2020 Feedback on Bias Prevention in Peer Review Training (CSR)
1
Bias Prevention Training Survey screenshot
2020 Medline Plus Connect User Survey (NLM)
1
2020 Medline Plus Connect User Survey Instrument
2020 Medline Plus Reader Survey (NLM)
1
2020 NLM Medline Plus Survey
2020 NCBI ClinicalTrials.gov Website Usability Survey (NLM)
1
2020 NCBI ClinicalTrials.gov Website Usability Survey
2020 NCBI CoLabs Dataset survey (NLM)
1
2020 NCBI CoLab Datasets Survey
2020 NCBI Genome Data Viewer Survey (NLM)
1
2020 NCBI GDV Survey
2020 NCBI Medical Genetics and Variation Resources Survey (NLM)
1
2020 MGV Resources Survey
2020 NCBI Websites Data Submission Survey (NLM)
1
NCBI 2020 Websites Data Submission Survey
2020 NIH Virtual Seminar on Program Funding and Grants Administration Overall Feedback Form (COMM/OD)
1
Overall Feedback form
2020 NINDS Intramural Survey
1
NINDS ISSP Survey
2020 NLM Catalog Survey (NLM)
1
NLM Catalog survey
2020 NLM My MedlinePlus Newsletter Survey (NLM)
1
2020 My MedlinePlus User survey
2020 NLM NICHSR Webinar Survey
1
2020 NLM NICHSR Webinar Survey
2020 NLM Site-wide Survey for Website Satisfaction
1
NLM Site-wide Survey
2020 NLM/ODSS Data Resource Metrics Survey (NLM)
1
ODSS Data Resource Metrics Survey
2020 National Institutes of Health – Office of Extramural Research Yearly Extramural Staff Training Survey
1
OER Yearly Extramural Training Survey
2020 PRS Tutorials Feedback Survey (NLM)
1
NLM 2020 PRS Tutorials Survey
2020 Unified Medical Language System (UMLS) User Satisfaction survey
1
2020 UMLS User Satisfaction Survey instrument
2021 ClinicalTrials.gov Usability Feedback Study (NLM)
1
2021 CTG Usability Feedback instrument
2021 NIH Consumer Health Content Community of Practice Survey (NLM)
1
2021 NIH Consumer Health Community of Practice
2021 NLM ClinicalTrials.gov Usability Testing Survey (NLM)
1, 2
2021 ClinicalTrials.gov User Sign-up
,
2021 ClinicalTrials.gov Usability Study survey
2021 NLM Customer Service Survey (NLM)
1
2021 Customer Service Survey
2021 NLM Survey of HMD Online Resources (NLM)
1
2021 NLM HMD online Resources survey
2021 Patient Perception Surveys-- Non-Behavioral (CC)
1, 2
Adult and Pediatric Outpatient Services Survey
,
Adult and Pediatric Outpatient Survey
2021 Survey to Assess Meeting Format and Review Quality Among NIH Grant Reviewers (CSR)
1
Survey Instrument screenshot
2021 Survey to Assess the Quality of Grant Review Among NIH Center for Scientific Review (CSR) Reviewers
1
Enquire 2021 survey
: 2020 Brain Research through Advancing Innovative Neurotechnologies (BRAIN) Investigators Meeting Conference Evaluation Survey (NINDS)
1
2020 PI Mtg survey
Alcohol Research Current Review Author Feedback phone call
1
NIAAA Author Feedback Call
Alcohol Research: Current Reviews (an NIAAA Publication) Audience Survey (NIAAA)
1
ARCR survey
Amgen-alumni WhereAreYouNow (OITE)
1
OMBFT-Amgen-Alumni-WhereAreYouNow
Annual Unified Medical Language System (UMLS) Customer Feedback Survey (NLM)
1
Annual UMLS Srvey
Assist User Experience
1
Assist User Experience
BRAIN Explorer Feedback Survey (NINDS)
1
BRAIN explorer survey screenshots
BYOMM After Action Report (NIMHD)
1
BYOMM After Action
Basic Electronic Survey to Inform Development of a Nursing Research Brochure
1, 1
Survey Screenshots
,
Survey Instrument
Benefits & Payroll Liaison Branch (BLPB) Customer Satisfaction Survey
1
Retiree Survey
Brother Your On My Mind (BYOMM) Knowledge Attitudes and Belief (KAB) (NIMHD)
1
BYOMM KAB
COVID19 Vaccine Perception Surveys (CC)
1
Vaccine survey
CRIS Vaccine Survey (NCI)
1
CRIS Survey
CSR New Chair Orientation Survey
1
CSR New Chair Orientation
Cancer Epidemiology in Hispanic Populations (CEHP) Workshop survey (NCI)
1
CEHP Workshop Survey
Change Readiness Survey (OD)
1
ChangeReadiness Survey screenshot
Change Readiness Survey (ORS/OD)
1
6700B Phase 2 Change Readiness Survey screenshots
Children's Health Exposure Assessment Resource (CHEAR) Client Satisfaction Survey (NIEHS)
1
CHEAR Client Satisfaction survey
Children's Health Exposure Assessment Resource (CHEAR) Client Satisfaction Survey(NIEHS)
1
CHEAR Client Satisfaction Survey
Clinical Research Education, Support, and Training (CREST) Program Customer Satisfaction Survey (NIMH)
1
CREST program survey
Collection of User Feedback for the Dietary Supplement Label Database (ODS/OD)
1
dietary supplement label database survey
Core Facility User Survey (NIMH)
1
Core User Survey
Customer Satisfaction Survey for the Innovative Clinical Trials Resource (ICTR) Website
1
Innovative Clinical Trials Resource (ICTR) screenshot
DASH User Feedback (NICHD)
1, 2, 3
DASH User Feedback Submission and Cataloging
,
DASH User Feedback Data Requester Survey
,
DASH User Feedback Biospecimen Requester Survey
DCEG Fellows Recruitment Survey 2020 (NCI)
1
Recruitment Survey 2020
DCEG Fellows Survey 2020 (NCI)
1
Fellows Survey 2020
DERT Climate Assessment (NIEHS)
1
NIEHS DERT Climate Assessment
Data and Safety Monitoring Meeting Evaluation (NIAMS)
1
NCR MB Survey screenshot
Department of Laboratory Medicine Operational Review: 2020 Stakeholder Perception Survey of Services (CC)
1
DLM Stakeholder Perception Survey
Deputy Director for Management (DDM) Seminar Series Survey (WSDD/OD)
1
DDM Online Survey screenshots
Diverse Voices Speaker Series Feedback Form (ORWH/OD)
1
Diverse Voices Speaker Series
Division of Scientific Categorization and Analysis (DSCA) Communication Survey (OD/OER/ORIS)
1
DSCA 2021 Communications and Training survey
Division of Scientific Equipment and Instrumentation Services (DSEIS) Maintenance and Repair Services Survey
1
DSEIS PRA Screenshots
Division of Senior and Scientific Executive Management (DSSEM) Application and Interview Satisfaction Survey
1
DSSEM Application and Interview Survey
Division of Veterinary Resources Customer Satisfaction Survey (OD)
1
GDB screenhots
DrugAbuse.gov Website Feedback Survey
1
NIDA- Website Feedback Survey Screenshots
Editing Service Customer Feedback Survey (NIHL)
1
Survey
Employee Engagement Survey 2020 (NIMH)
1
NIMH Employee Engagement Survey
Evaluation Using Focus Groups: Topic Guide (DCO/OD)
1
Evaluation using Focus Groups Topic Guide instrument
Evaluation Using Focus Groups: Topic Guide (DCO/OD)
1
Evaluation using Focus Groups Topic Guide instrument
Extramural Training Event/Activity Feedback Survey (DCO/OD)
1
Extramural Training Event/Activity Feedback Survey
FY2020 NIH Loan Repayment Program Application Information Survey (OD/LRP)
1
FY2020 LRP Application Information Survey
FY2020 NIH Loan Repayment Programs Renewal Award Survey (LRP/OD)
1
FY2020 LRP Renewal Award Survey
Feedback from GovDelivery Subscribers (NINR)
1
Questions screenshot
Feedback on 2020 Integrity in Peer Review Training (CSR)
1
Integrity in Peer Review Survey
Feedback on NIH Common Fund's High Risk, High-Reward Research Symposium (OD)
1
HRHR Symposium Satisfaction Survey
Feedback on NIH Common Fund's High-Risk, High-Reward Research Symposium (OD)
1
HRHR Symposium survey 2018
Feedback on the 2019 New Chair Orientation (CSR)
1
Screenshots of New Chair Orientation survey
Focus Group for Primary Care Providers Regarding Alcohol Treatment (NIAAA)
1, 2
Navigator Screener Round 2
,
Physicians Moderator Guide
Focus Groups with the General Public to Test Understanding and Resonance of Temporomandibular Disorders Brochure (NIDCR)
1, 2, 3, 4
Recruitment screener
,
Informed Consent Form
,
homework instructions
,
Moderator's Guide
Genetics and Rare Disease Information Center (GARD) Website User Feedback Survey (NCATS)
1
GARD Survey questions
HMD 2018 Exhibition Program Web Usability Study
1
HMD 2018 Exhibition Web Usability Study Instrument
HMD 2018 Traveling Exhibition Host Survey
1
NLM HMD 2018 Traveling Exhibition Host Survey
HR Systems Support (HRSS) Customer Satisfaction Survey
1
NIH HRSS Customer Satisfaction Survey
Harnessing Data Science for Health Discovery and Innovation in Africa (DS-I Africa) Virtual Symposium Platform Feedback Survey (FIC)
1
Feedback survey screenshots
Health Disparities Research Institute (HDRI) Course Assessment (NIMHD)
1
2019 HDRI Final Course Assessment
Health Information Technology Patient Satisfaction Survey (CC)
1
Patient Portal Online Survey Screenshot
Health Science Data Needs Assessment (NLM)
1
Health Science Data Needs Assessment
Health Science Data Needs Assessment (NLM)
1
Health Science Data Needs As survey instrument
ICARE Dialogues Customer feedback pre- and post- surveys (OD)
1, 2
ICARE Dialogues Customer feedback pre-surveys
,
ICARE Dialogues Customer feedback post- surveys
ICARE Dialogues Customer feedback pre- and post- surveys (OD)
1, 2
ICARE Pre Survey
,
ICARE Post Surveys
ICARE Dialogues Customer feedback pre- and post- surveys (Session 10 and 11) (OLAW/OD)
1, 2
ICARE Dialogues Customer Pre-Survey for sessions 10 and 11
,
ICARE Dialogues Customer Post-Survey for session 10 and 11
IRP Laboratory/Branch Chief Performance Satisfaction Survey (NIMH)
1
LabBranch Chief Survey
Information Request from Visitors at the NIH Center for Scientific Reviews' Information Booth (CSR)
1
Question Box cards
Information Resource Center (IRC) Customer Satisfaction Surveys for Email Information Services and Online Publications Ordering Services (NIMH)
1
IRC Customer Satisfaction survey
Intramural Research Program Office of Fellowship Training (OFT) Annual Trainee Survey (NIMH)
1
NIMH OFT Annual Trainee Survey Questions
KAI Data and Safety Monitoring Meeting Evaluation (NIAMS)
1
KAI Survey screenshots
KAI Data and Saftey Monitoring Meeting E
1
KAI Research Questions for NIAMS Customer Survey
LMS Climate Assessment (NIAAA)
1
LMS Climate survey
Literature Search Customer Feedback Survey (NIH Library)
1
Literature Survey
Live Chat User Satisfaction (NIDDK)
1
Live Chat survey screenshot
Medicine: NIH Mind the Gap Webinar Series Survey II
1
MtG Customer Satisfaction Survey
NCBI 2017 Website User Survey
1
NCBI 2017 Website User Survey Instrument
NCBI 2018 Gene Resource Survey (NLM)
1
NCBI 2018 Gene Resource Survey Instrument
NCBI 2019 Clinical Trials.gov Website Usability Survey (NLM)
1
NCBI CT.gov web survey
NCBI 2019 GEO Submission Survey (NLM)
1
NCBI GEO 2019 Survey
NCBI 2019 Genome Resource Survey (NLM)
1
NCBI 2019 Genome Survey
NCBI 2019 Identical Protein Groups (NLM)
1
NCBI IPG survey
NCBI 2019 Run Selector Survey (NLM)
1
NCBI Run Selector Survey Instrument
NCBI 2020 Tree Viewer Survey (NLM)
1
2020 NCBI Tree Viewer Survey
NCBI ClinVar 2017 Website User Survey (NLM)
1
NCBI ClinVar 2017 Survey instrument
NCCIH at 20: A Catalyst for Integrative Health Research Program Feedback
1
NCCIH Feedback Form
NCI Symposium on Mutation Signatures and Cancer (NCI)
2, 1
Registration
,
Abstract submission
NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Federal)
1
PEPH Aware-Act-Use Survey
NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Ind. and Households)
1
PEPH Aware Act Use Survey
NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (State and Local)
1
PEPH Aware Act Use Survey
NIEHS Partnerships for Environmental Public Health (PEPH) Aware-Act-Use Private Sector
1
PEPH Aware Act Use Survey
NIGMS Audience Survey (NIGMS)
1
Audience survey screenshot
NIH 6700B-Phase 2 Post Occupancy Change Management (CM) Survey (ORS/OD)
1
NIH6700B Phase2 Post Occupancy CM Survey
NIH 6710B Change Readiness Survey (OD/ORS)
1
6710B Change Readiness Survey
NIH Even Management Branch Scheduling Services Survey (ORS/OD)
1
Scheduling Survey screenshots
NIH IT Service Desk Customer Satisfaction Survey (CIT)
1
CIT Customer Satisfaction Survey Form
NIH Library Customer Satisfaction Survey
1
Survey with Burden Disclosure Statement
NIH Library Instruction Customer Feedback Survey (NCI)
1
NIH Library Screenshot
NIH Library Scholarly Publishing Symposium (NIHL)
1
Survey
NIH Library Survey on Electronic Lab Notebook Usage in NIH Intramural Labs
1
ALivinski Library Survey Screenshots
NIH OAR and NIMH HIV-Related Intersectional Stigma (HIVIS) Workshop Participant Satisfaction Survey (NIMH)
1
HIVIS Workshop Participant Satisfaction Survey
NIH ODSS STRIDES Initiative Baseline Survey (OD/SPCCR)
1
STRIDES Baseline Survey
NIH ODSS STRIDES Initiative Training Assessment (OD/SPCCR)
1
STRIDES Training Assessment
NIH ODSS STRIDES Initiative Training Interest Survey (OD)
1
STRIDES Training Interest Survey Workflow
NIH ODSS STRIDES Initiative Training Survey (OD)
1
Training Survey Workflow
NIH Office of Intramural Training & Education (OITE) - General Feedback Forms
2
General Feedback Collection form
NIH Office of Intramural Training & Education (OITE) - Graduate & Professional School Fair Feedback
1
Graduate & Professional School Fair Feedback Collection
NIH Office of Intramural Training & Education (OITE) - Management Boot Camp Feedback
1
Management Boot Camp form
NIH Office of Intramural Training & Education (OITE) - NIH Native American Visit Week Feedback
1
NAVisit week Collection
NIH Office of Intramural Training & Education (OITE) 2018 Feedback Career Symposium
1
Career Symposium Collection Form
NIH Office of Intramural Training & Education (OITE) Community College Day Feedback
1
Community College Day feedback
NIH Office of Intramural Training & Education (OITE) – Amgen Scholars at NIH Feedback (OD)
1
Amgen Scholars Feedback survey
NIH Office of Intramural Training & Education (OITE) – Career Service Center Feedback
1
2018 Feedback Career Service Center
NIH Office of Intramural Training & Education (OITE) – General Event Feedback (OD)
1
General Event feedback form
NIH Office of Intramural Training & Education (OITE) – Graduate & Professional School Fair Exhibitor Feedback (OD)
1
OITE GPSF Exhibitor feedback screenshot
NIH Office of Intramural Training & Education (OITE) – Graduate & Professional School Fair – Student Feedback (OD)
1
GPSF Student feedback screenshot
NIH On the Move Need Survey
1
LD PRA Screenshots On the Move
NIH Pathways to Prevention (P2P) Workshop Program Content Area Expert (CAE) Stakeholder Interview (OD)
NIH Rehabilitation Research 2020: Envisioning a Functional Future Conference Participant Survey (NICHD)
1
NIH Rehabilitation Research 2020 survey
NIH Return to the Physical Workspaces: Group C Pulse Check (OD/WSDD/OHR)
1
NIH Return to Physical Workspaces Group C Pulse Check
NIH Rockledge I/II Phase I-Post-Occupancy CM Survey (ORS/OD)
1
Rockledge Ph1 Post Occ CM Survey
NIH Sexual & Gender Minority (SGM) Research Regional Workshop- Customer Feedback (SGMRO/OD)
1
RGMRO-Regional Workshop 2020 - Customer Feedback
NIH Training Center Survey (OD/OHR/WSDD)
1
NIHTC Survey
NIH's Director's Awards Ceremony Assessment (OD)
1
NIH's Director's Award Survey
NIH/National Medical Association (NMA) Academic Career Development Workshop Contact Information and Feedback Form
1
Contact Info and Feedback Form
NIHEvents Management - Audio Visual Survey (OD)
1
Events Management AV Screenshot
NIMH Information Resource Center (IRC) Customer Satisfaction Surveys for Email Information Services, Online Publications Ordering Services and Telephone Services
3, 1, 2
Telephone Service Customer Satisfaction survey
,
Email Service survey
,
Online Publication Ordering Survey
NIMH Late-Life Suicide Workshop (NIMH)
1
NIMH Late-Life Suicide Workshop Registration Form
NIMH Website Survey
1
NIMH Website Survey Screenshots
NITAAC Customer Feedback Questionnaire (OD)
1
NITAAC Survey
NLM 2018 Exhibition Program Web Portal Usability Study (General Public)
1
NLM Exhibition Program Portal Usability Study Instrument
NLM 2018 Exhibition Program Web Portal Usability Study (Private Sector)
1
NLM Exhibition Program Portal Usability Study Instrument
NLM 2018 Public Libraries Association Survey
1
2018 Public Libraries Survey instrument
NLM 2018 UMLS User Satisfaction Survey
1
UMLS 2018 User Survey
NLM GeneEd User Survey
1
GeneEd User Survey
NLM MedlinePlus Website Usability Survey
1
User Survey Instrument NLM MedlinePlus Website
NLM NCBI 2018 BLAST Survey
1
NCBI 2018 Blast Survey
NLM NCBI 2018 Data Submission Survey
1
NCBI Submission Survey
NLM NCBI 2018 Genetics and Population Frequency Data Survey
1
NCBI 2018 Genetics and Population Frequency Data Survey
NLM NCBI 2018 Graphical Sequence Survey
1
Graphical Sequence Display Survey
NLM NCBI 2018 Literature Resources Survey
1
NCBI 2018 Literature Resources Survey
NLM NCBI 2018 Microbial Genome Resources Survey
1
NCBI Microbial Genome Resources Survey
NLM NCBI 2018 Population Frequency Data Survey
1
NLM NCBI 2018 Population Frequency Data Survey
NLM NCBI 2018 PubChem Resources Survey
1
NCBI 2018 PubChem Survey Instrument
NLM NCBI 2018 Representative Genomes Survey
1
NCBI 2018 Representative Genomes Survey
NLM NCBI 2018 Transcript Resources Survey
1
NCBI 2018 Transcript Resources Survey
NLM SIS Disaster Information Specialization Survey
1
DIS Survey Instrument
NLM Site-wide Survey for Website Satisfaction Rating 2019
1
NLM Site-wide Survey for Website Satisfaction Rating 2019
NLM Site-wide Survey for Website Satisfaction Rating 2019
1
NLM Site-wide Survey for Website Satisfaction Rating 2019
NLM Toxnet 2018 Workshop Survey
1
NLM TOXNET 2018 Workshop Survey instrument
NLM Traveling Exhibition Visitor Study
1
NLM Traveling Exhibition Visitor Survey
NLM Website Survey for Website Satisfaction Rating
1
NLM Website Survey Instrument
NLM Websites User Satisfaction 2018 Survey
1
NLM Websites Survey
National Eye Institute (NEI) Eye Health Focus Groups with New Audiences Ages 25-35
1, 2
New Aud FG Attachment A Screnner
,
Guide New Aud Attachment B
National Institute of Mental Health (NIMH) Core Facility User Survey
1
NIMH Core User Survey template
National Institute of Mental Health (NIMH) Outreach Partnership Program Annual Meeting Assessment Form
1
2018 OPP Mtg Assessment Form
National Institute of Mental Health (NIMH) Professional Coalition for Research Progress Meeting Assessment Form
1
NIMH Professional Coalition for Research Progress Meeting Assessment Form
National Institutes of Health National Center for Advancing Translational Sciences Toolkit for Patient-Focused Therapeutic Development (NCATS Toolkit) Website User Feedback Survey
1
Toolkit Website User Survey
OD Climate Assessment (OCIO/OD)
1
OD Climate Survey
ODP Pathways to Prevention Workshop Survey III
1
P2P Post Survey Screenshots
ODP Pathways to Prevention Workshop Survey IV (OD)
1
P2P PA-WCU post workshop screenshots
ODP Pathways to Prevention survey
1
P2P Survey screenshots
OIT Training Customer Satisfaction Survey (OD)
1
OITBrownBag survey
OLAW Online Seminar entitled "Building a Research Occupational Health Program"
1
OLAW Online Webinar
ORDR Usability Testing of Web Resources for Rare Disease Patients (NCATS)
3, 1, 2
NCATS GARD RDD Test Plan
,
NCATS RaDaR RDD Test Plan
,
NCATS Toolkit RDD Test Plan
Office of Dietary Supplements' Customer Feedback Assessment for ODS Scholars Awardees and Administrative Supplement Grantees (OD)
1, 2
ODS Scholars Feedback Survey
,
ODS Administrative Supplement survey
Office of Human Resources (OHR) Climate Survey
1
2017 OHR Climate Survey
Office of Human Resources (OHR) Pulse Survey
1
OHR Pulse Survey
Office of Human Resources (OHR) Training Survey
1
P2P Survey Screenshots
Office of Intramural Training & Education (OD) (OITE) – Becoming a Resilient Scientist Fall Series – Feedback (OD)
1
Becoming Resilient Scientist Fall2020 Feedback
Office of Intramural Training & Education (OITE) – Academic Internship Program (AIP) - Feedback (OD)
1
AIP feedback
Office of Intramural Training & Education (OITE) – Becoming a Resilient Scientist Series Summer 2020 - Feedback (OD)
1
Becoming Resilient Scientist-Summer Series feedback
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
1
2018 Train-the-Trainers- (Federal) Feedback form
Office of Intramural Training & Education (OITE) – Summer Internship Program (SIP) - Feedback (OD)
1
SIP screenshot
Office of Intramural Training & Education (OITE) – The Mental Health and Well-Being of Biomedical Researchers – Feedback (OD)
1
Mental Health & Well Being Fall 2020
Office of the Director, Executive Office (ODEO) Staff Survey (OD)
1
ODEO Survey
Office of the Training Director Surveys for Current and Former Trainees and Fellows (NINR)
1, 2
screenshots for Trainee Viewpoint survey
,
screenshot for Exit Survey
Online survey for gathering information on the audience of the Diabetes Discoveries & Practice Blog (NIDDK)
1, 2
Survey Monkey Blog Survey
,
ForeSee Blog Survey
Online survey for gathering insight on the preferences of the NIDDK Director's Update audience (NIDDK)
1
Director's Update Audience survey
Overall Feedback Results for NIH Regional Seminar – Fall 2019
1
Overall Feedback
Participant Feedb ack on 2019 NIH Common Fund Peripheral Activity to Relieve Conditions (SPARC) Meeting (OSC/OD)
1
2019 SPARC Survey
Participant Feedback for the Mary Frances Picciano Dietary Supplement Research Practicum (DSRP) on May 29–31, 2019 at the Lister Hill Auditorium (NLM)
1, 2, 3
Evaluation Day 1 screenshot
,
Evaluation Day 2 screenshot
,
Evaluation Day 3 screenshot
Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Federal Government)
1
PEPH Aware Act Use Survey
Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Individuals and Households)
1
PEPH Aware Act Use Survey Final
Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (Private Sector)
1
PEPH Aware Act Use Survey
Partnerships for Environmental Public Health (PEPH) Aware-Act-Use (State, Local, and Tribal)
1
PEPH Aware Act Use Survey Final
Pathways to Prevention - Non-profit
1
P2P Survey screenshots
Patient Perception Survey (CC)
1, 2
NIH Inpatient Mock-up - NRC Health
,
NIH Outpatient Mock-up -NRC Health
Patient Perception Surveys Non-Behavioral Health (CC)
1, 2, 3, 2
Adult Inpatient Survey
,
Adult and Pediatric Survey Procedure Survey
,
Pediatric Inpatient Survey
,
Adult and Pediatric Survey Procedure Survey
Patient Perception Surveys – Behavioral Health (CC)
1, 2, 3, 4
Adult Inpatient Behavioral Health Survey
,
Adult Outpatient Behavioral Health Survey
,
Pediatric Inpatient Behavioral Health Survey
,
Pediatric Outpatient Behavioral Health Survey
Pediatric Patient Perception Survey (CC)
1
NRC NIH Inpatient Pediatric Survey
Perception of Cool Down Day Survey
1
Cool Down Day BDS
Principles of Pediatric Clinical Pharmacology Webinar Feedback (NICHD)
1
PrinPedPharm survey
Questionnaire for assessing the needs to innovate, build, modify and fix laboratory tools & equipment (NIEHS)
1
Equipment Survey
Quick Feedback Center for Scientific Review (QFCSR)
1
QFCSR Fall 2018
Regional Workshop: Alternative Approaches to Combating Anti-Microbial Resistance (AMR) (NIAID)
1
Post WorkshopEvaluation --US-KZ AMR 2019 screenshots
Resilience Training Program: Building a Resilient Scientist (OITE/OD)
1
OITE Resilience Training Program survey
Rocky Mountain Lab - Family Care Survey 2019 (ORS/OD)
1
RML Family Care Survey Screenshot
SR Maximizing Value 3Month Post (ORS/OD)
1
KOliver Screenshots
Safety Communication Campaign (DOHS/OD)
Scientific Research (SR) Maximizing Value (ORS/OD)
1, 2
Pre-Presentation Survey screenshot
,
Post-Presentation screenshot
Session Feedback for NIH Regional Seminar – Fall 2019
1
Session Feedback
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)
1
DOHS survey screenshot
Soliciting Feedback on the NINR Summer Genetics Institute from Course Alumni (NINR)
1
SGI 2020 survey
Soliciting Feedback on the Omics Nursing & Education Network (ONSEN) Website (NINR)
1
ONSEN survey
Special OLAW Webinar: "Pandemic Contingency Planning and Its Impact on Animal Care" to be held March 19, 2020
1
Special OLAW Webinar
Staff Engagement 2020 (NICHD)
1
NICHD Staff Engagement 2020 survey
Stakeholder Feedback Survey on PATH Study (NIDA)
1
PATH Stakeholder Feedback survey screenshot
Statistics Customer Feedback Survey (NIH Library)
1
Statistics CS Survey
Survey Soliciting Employee Assistance Program (EAP) Customer Satisfaction (ORS/DOHS/OMS/OD)
1
EAP COVID Survvey
Survey for Health Professionals and Community Leaders (NIAAA)
1
Qualtrics Survey Screenshots HCP survey
Survey of NIDA Email Subscribers on Experiences with National Drug and Alcohol Facts Week® Resources (NIDA)
1, 2
Non-Participant
,
Participant
Survey to Assess the Quality of Grant Review Among NIH Center for Scientific Review Reviewers (CSR)
1
Survey
Survey to Assess the Quality of Grant Review and Meeting Format Among NIH Center for Scientific Review (CSR) Reviewers
1
Survey instrument screenshot
Survey to Assess the Quality of Grant Review and Study Section Structure Among NIH Center for Scientific Review Reviewers (CSR)
1
2019 CSR Reviewers 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
1
DSTRP survey instrument
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
1
STEP UP survey screenshot
Technology Transfer and Intellectual Property Officer (TTIPO) Fellowship Program Survey (NIAID)
1
TTIPO Fellowship Survey screenshots
The Annual NIH Pain consortium Symposium Feedback
1
Pain 2015 Survey Monkey
The NIH Extramural Loan Repayment Programs: Online Customer Service Survey About the Application Technical Assistance Webinar
1
FY2019 LRP Webinar Survey
The NIH Extramural Loan Repayment Programs: Online Customer Service Survey About the Application Technical Assistance Webinar (OD)
1
FY2020 LRP Webinar Survey
The NINDS Public Site Widget
1
NINDS Public Site Widget screenshot
VRC Workplace Survey (NIAID)
1
NIAID VRC Survey screenshots
Webinar questions in the OLAW Online Seminar entitled "21st Century Cures Act, Next Steps
1
Webinar Poll
Website Survey for Website Satisfaction Rating (NIA)
1
NIA Site Survey Setup
Website Survey for Website Satisfaction Rating (NIAAA)
1
NIAAA Website Survey Screenshot
Website Survey for Website Satisfaction Rating (NIBIB)
1
NIBIB Web Placement Survey
WiTS Climate Survey 2015
1
2015 WiTS Climate Survey
Workflow information Tracking System (WiTS) Climate Survey (OHR/OD)
1
2019 WiTS Climate survey
Workflow information Tracking System (WiTS) Focus Groups
1
WiTS Focus Group Instrument
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
there is a difference of -75 in the burden being requested due to mathematical computation from the previously, approved submission. Additionally, the number of responses has increased by 300,000 due to new requirements regarding the reporting of “Responses per Respondent.”
Annual Cost to Federal Government:
$350,000
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Tawanda Abdelmouti 240 276-5530 ta401@nih.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
04/22/2021
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