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CFI 141 USDA NASS, CFI 142 VA Outpatient, CFI 143 VA Inpatient
American Customer Satisfaction Index
OMB: 1090-0007
IC ID: 182649
OMB.report
DOI/ASPMB
OMB 1090-0007
ICR 200904-1090-001
IC 182649
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0007 can be found here:
2021-09-21 - Extension without change of a currently approved collection
2018-07-27 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form CFI 141
CFI 141 USDA NASS, CFI 142 VA Outpatient, CFI 143 VA Inpatient
Form
CFI 141 USDA NASS questionnaire
CFI 141 USDA NASS.doc
Form
CFI 142 VA Outpatient Questionnaire
CFI 142 VA Outpatient Questionnaire.doc
Form
CFI 143 VA Inpatient questionnaire
CFI 143 VA Inpatient Questionnaire.doc
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
CFI 141 USDA NASS, CFI 142 VA Outpatient, CFI 143 VA Inpatient
Agency IC Tracking Number:
CFI 141, CFI 142, CFI 143
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
CFI 141
USDA NASS questionnaire
CFI 141 USDA NASS.doc
No
Paper Only
Form
CFI 142
VA Outpatient Questionnaire
CFI 142 VA Outpatient Questionnaire.doc
No
Paper Only
Form
CFI 143
VA Inpatient questionnaire
CFI 143 VA Inpatient Questionnaire.doc
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
780
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
780
0
0
0
0
0
Annual IC Time Burden (Hours)
156
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.