Information Collection

CSAP Customer Satisfaction Survey

IC 183712 under ICR 200710-0930-001 · OMB 0930-0197.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0197 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Survey CSAP Customer Satisfaction Survey	Form and Instruction
Survey Survey CSAP Customer Survey 2008.doc	Form and Instruction
CSAP Customer Survey OMB Justification 2008.doc Supporting Statement	IC Document
OMBTransLet1-1008.wpd Transmittal Letter	IC Document

IC Title:

CSAP Customer Satisfaction Survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Survey	Survey	CSAP Customer Survey 2008.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

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	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	150	0	0	0	0	0
Annual IC Time Burden (Hours)	10	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement	CSAP Customer Survey OMB Justification 2008.doc	02/06/2008
Transmittal Letter	OMBTransLet1-1008.wpd	02/06/2008

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