The Modular Survey on Consumer Perceptions of Care - CSAT

Voluntary Customer Satisfaction Surveys to Implement Executive Order 12862 in the Substance Abuse and Mental Health Services Administration (SAMHSA)

OMB: 0930-0197

IC ID: 189574

Information Collection (IC) Details

View Information Collection (IC)

The Modular Survey on Consumer Perceptions of Care - CSAT
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Modular Survey Modular Survey Modular Survey OMB Attachment 1 - Modular Survey Instrument 6-15-09.doc Yes No Paper Only

Health Public Health Monitoring

 

2,650 0
   
State, Local, and Tribal Governments
 
   100 %

  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 2,650 0 0 0 0 0
Annual IC Time Burden (Hours) 450 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Justification Memo OMBTransLet5-2009.wpd 06/15/2009
Supporting Statement Modular Survey OMB Update 6-15-09.doc 06/15/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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