Visitors and Staff

Satisfaction Surveys of Customers and Other Partners

OMB: 0925-0458

IC ID: 181800

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

View Information Collection (IC)

Visitors and Staff
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 3 Built-Adults Built Environment Survey Adult.pdf Yes Yes Paper Only
Form and Instruction 4 Built-Peds Built Environment Survey Peds.pdf Yes Yes Paper Only

Health Health Care Services

 

6,500 0
   
Individuals or Households
 
   0 %

  Requested 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 6,500 0 0 0 0 0
Annual IC Time Burden (Hours) 1,105 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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