Information Collection

Eastern Blind Rehabilitation Center (ebrc) Patient Satisfaction Questionnaire

IC 174583 under ICR 198011-2900-119 · OMB 2900-0248.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0248 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	EASTERN BLIND REHABILITATION CENTER (EBRC) PATIENT SATISFACTION QUESTIONNAIRE	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

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	10-54(689)				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	120	20	100
Annual IC Time Burden (Hours)	60	10	50
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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