Information Collection

Attc

IC 46705 under ICR 200701-0930-003 · OMB 0930-0216.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0216 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1.1 ATTC Event Des ATTC Event Description Form ATTC	Form and Instruction
Form 1.2 ATTC Pre-Event ATTC Pre-Event Form Meetings & TA ATTC	Form and Instruction
Form 1.3 ATTC Pre-Event ATTC Pre-Event Form Training ATTC	Form and Instruction
Form 1.4 ATTC Post Even ATTC Post Event Cust Sat Survey Training ATTC	Form and Instruction
Form 2.4 CSAT Customer CSAT Customer Sat Survey TA Follow-up ATTC	Form and Instruction
Form 1.5 ATTC Follow-up ATTC Follow-up Event Cust Sat Survey Training ATTC	Form and Instruction
Form 2.1 CSAT Customer CSAT Customer Sat Survey Meeting ATTC	Form and Instruction
Form 2.2 CSAT Customer CSAT Customer Sat Survey Meeting Follow-up ATTC	Form and Instruction
Form 2.3 CSAT Customer CSAT Customer Sat Survey TA ATTC	Form and Instruction
Form 2.5 CSAT Customer CSAT Customer Sat Survey Training ATTC	Form and Instruction
Form 2.6 CSAT Customer CSAT Customer Sat Survey Training Follow-up ATTC	Form and Instruction
1.1 ATTC Event Des ATTC Event Description Form Attachment 1-1 ATTC Event Description Form.doc	Form and Instruction
1.2 ATTC Pre-Event ATTC Pre-Event Form Meetings & TA Attachment 1-2 ATTC PreEvent Form Meetings & TA.doc	Form and Instruction
1.3 ATTC Pre-Event ATTC Pre-Event Form Training Attachment 1-3 ATTC PreEvent Form Training.doc	Form and Instruction
1.4 ATTC Post Even ATTC Post Event Cust Sat Survey Training Attachment 1-4 ATTC PostEvent Customer Satis Survey Training.doc	Form and Instruction
2.4 CSAT Customer CSAT Customer Sat Survey TA Follow-up Attachment 2-4 CSAT Cust Satis Survey TA Followup.doc	Form and Instruction
1.5 ATTC Follow-up ATTC Follow-up Event Cust Sat Survey Training Attachment 1-5 ATTC FollowUp Customer Satis Survey Training.doc	Form and Instruction
2.1 CSAT Customer CSAT Customer Sat Survey Meeting Attachment 2-1 CSAT Cust Satis Survey Meeting.doc	Form and Instruction
2.2 CSAT Customer CSAT Customer Sat Survey Meeting Follow-up Attachment 2-2 CSAT Cust Satis Survey Meeting Followup.doc	Form and Instruction
2.3 CSAT Customer CSAT Customer Sat Survey TA Attachment 2-3 CSAT Cust Satis Survey TA.doc	Form and Instruction
2.5 CSAT Customer CSAT Customer Sat Survey Training Attachment 2-5 CSAT Cust Satis Survey Training.doc	Form and Instruction
2.6 CSAT Customer CSAT Customer Sat Survey Training Follow-up Attachment 2-6 CSAT Cust Satis Survey Training Followup.doc	Form and Instruction
Attachment 3 ATTC Network Regional Centers.doc Attachment 3 ATTC Net Reg Centers	IC Document
Attachment 4 Sample Cover Letters.doc Attachment 4 Sample Cover Letters	IC Document
Attachment 5 Cover page for instruments.doc Attachment 5 Cover Page Instructions	IC Document
Attachment 6 Model Statement.doc Attachment 6 Model Statement	IC Document
Attachment 7 Contact Information Form.doc Attachment 7 Contact Information Form	IC Document
Attachment 8 Statement of Informed Consent for Followup.doc Attachment 8 Statement of Informed Consent	IC Document
Terms-06-Memo.doc Terms Memo	IC Document
Terms-06-Report.doc Terms Report	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

ATTC

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1.1 ATTC Event Description Form	No	No	Paper Only
Form and Instruction	1.2 ATTC Pre-Event Form Meetings & TA	No	No	Paper Only
Form and Instruction	1.3 ATTC Pre-Event Form Training	No	No	Paper Only
Form and Instruction	1.4 ATTC Post Event Cust Sat Survey Training	No	No	Paper Only
Form and Instruction	2.4 CSAT Customer Sat Survey TA Follow-up	No	No	Paper Only
Form and Instruction	1.5 ATTC Follow-up Event Cust Sat Survey Training	No	No	Paper Only
Form and Instruction	2.1 CSAT Customer Sat Survey Meeting	No	No	Paper Only
Form and Instruction	2.2 CSAT Customer Sat Survey Meeting Follow-up	No	No	Paper Only
Form and Instruction	2.3 CSAT Customer Sat Survey TA	No	No	Paper Only
Form and Instruction	2.5 CSAT Customer Sat Survey Training	No	No	Paper Only
Form and Instruction	2.6 CSAT Customer Sat Survey Training Follow-up	No	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,750

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	6,750	2,190	2,370	2,190
Annual IC Time Burden (Hours)	1,080	0	1,080	0
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment 3 ATTC Net Reg Centers		12/28/2006
Attachment 4 Sample Cover Letters		12/28/2006
Attachment 5 Cover Page Instructions		12/28/2006
Attachment 6 Model Statement		12/28/2006
Attachment 7 Contact Information Form		12/28/2006
Attachment 8 Statement of Informed Consent		12/28/2006
Terms Memo		12/28/2006
Terms Report		12/28/2006

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

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