OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

DDI Health Leadership Clinic Survey

IC 183709 under ICR 200802-0920-006 · OMB 0920-0791.

Documents and Forms
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Form
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Information Collection (IC) Details

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DDI Health Leadership Clinic Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form No number DDI Health Leadership Clinic Survey Attachment F DDI Health Clinic Leadership Survey.doc Yes No Fillable Printable

Health Health Care Services

 

30 30
   
Private Sector Not-for-profit institutions
 
   0 %

  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 30 0 30 0 0 0
Annual IC Time Burden (Hours) 30 0 30 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment F Attachment F.3 1st and 2nd e-mail reminder messages for the clinic leadership survey.doc 01/16/2008
Attachment F Attachment F.1 Advance -email message to clinic leadership survey.doc 01/16/2008
Attachment F Attachment F.2 Cover letter for DDI Health Clinic leadership survey.doc 01/16/2008
Attachment F Attachment F.4 Thank you.doc 01/16/2008
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.