Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration

ICR 200603-0915-001

OMB: 0915-0212

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0915-0212 200603-0915-001
Historical Active 200302-0915-001
HHS/HSA
Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration
Extension without change of a currently approved collection   No
Regular
Approved without change 04/24/2006
Retrieve Notice of Action (NOA) 03/20/2006
The agency is reminded that individual packages submitted under this generic clearance must be reviewed and approved by OMB prior to fielding. OMB will seek to review surveys within 10 days of submission. Packages submitted under this clearance will be used solely for purposes of measuring customer satisfaction.
  Inventory as of this Action Requested Previously Approved
04/30/2009 04/30/2009 04/30/2006
52,050 0 52,050
5,075 0 5,075
0 0 0

This generic project clearance allows HRSA to conduct voluntary customer satisfaction surveys of its partners to assess strengths and weaknesses in program services and products. Examples of such surveys include satisfaction with technical assistance provided to grantees, in class evaluations of training sessions, and satisfaction with information services.

None
None


No

1
IC Title Form No. Form Name
Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 52,050 52,050 0 0 0 0
Annual Time Burden (Hours) 5,075 5,075 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
03/20/2006


© 2024 OMB.report | Privacy Policy