OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Bundled Sub-studies #5 DCP Survey, #6 R2R Survey, and #7 PS-OC Survey

IC 201419 under ICR 201108-0925-002 · OMB 0925-0642.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Bundled Sub-studies #5 DCP Survey, #6 R2R Survey, and #7 PS-OC Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 3E #7_Attach2E_Outreach #7_OSPO_Attach 2E_Outreach and Education Unit Leaders (Section D).pdf Yes Yes Fillable Fileable
Form and Instruction 3F #7_Attach2F_Advocates #7_OSPO_Attach 2F_Advocates (Section F).pdf Yes Yes Fillable Fileable
Form and Instruction 3B #7_Attach2B_Education #7_OSPO_Attach 2B_Education and Training Unit Leaders (Sections A and E).pdf Yes Yes Fillable Fileable
Form and Instruction 3C #7_Attach2C_Principal #7_OSPO_Attach 2C_Principal and Scientific Investigators (Sections B & J).pdf Yes Yes Fillable Fileable
Form and Instruction 3D #7_Attach2D_Project Investigators #7_OSPO_Attach 2D_Project Investigators (Sections C & J).pdf Yes Yes Fillable Printable
Form and Instruction 1 DCP Survey Screenshots #5_Attach 2_DCP_Survey_Screenshots.pdf Yes Yes Fillable Fileable
Form and Instruction 2 R2R Survey #6_Attach 1_R2R Survey _Screenshots_1-30-12.docx Yes Yes Fillable Fileable
Form and Instruction 3A #7_Attach 2A_Administrators #7_OSPO_Attach 2A_Administrators (Section A).pdf Yes Yes Fillable Fileable
Form and Instruction 3H #7_Attach2H_Trainees #7_OSPO_Attach 2H_Trainees (Sections H &J).pdf Yes Yes Fillable Fileable
Form and Instruction 3G #7_Attach2G_Advisors #7_OSPO_Attach 2G_External Advisors & Scientists Not Associated (Section G).pdf Yes Yes Fillable Fileable

Health Consumer Health and Safety

SORN #09-25-0156, "Records of Participants in Programs and Respondents in Surveys Used to Evaluate Programs of the Public Health Service, HHS/PHS/NIH/OD"   67 FR 60743

2,217 0
   
Individuals or Households
 
   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 2,217 0 0 0 0 0
Annual IC Time Burden (Hours) 351 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
#5 Fast Track Request DCP Fast-Track Request_#5_DCP.docx 02/16/2012
#5_Attach 1_DCP_invite #5_Attach 1_DCP_invite.docx 02/16/2012
#7_OSPO_Attach 1_ Invite Letter #7_OSPO_Attach 1_ Invite Letter.docx 02/16/2012
Summary Memo Memo to OMB_Key To Bundled #5, #6, and #7.doc 02/24/2012
Fast-Track Request #7_OSPO Fast-Track Request_#7_OPSO_2-24-2012.docx 02/24/2012
Fast-Track Request #6_R2R Fast-Track Request_#6_R2R_2-24-12.docx 02/24/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.