Information Collection

Voluntary Customer Surveys To Implement Executive Order 12862 Within The Indian Health Service

IC 110468 under ICR 199312-0917-001 · OMB 0917-0018.

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Information Collection (IC) Details

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IC Title:	VOLUNTARY CUSTOMER SURVEYS TO IMPLEMENT EXECUTIVE ORDER 12862 WITHIN THE INDIAN HEALTH SERVICE	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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	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
Annual Number of Responses for this IC	48,843	48,843
Annual IC Time Burden (Hours)	8,140	8,140
Annual IC Cost Burden (Dollars)	0	0

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