CFI 141 USDA NASS, CFI 142 VA Outpatient, CFI 143 VA Inpatient

American Customer Satisfaction Index

OMB: 1090-0007

IC ID: 182649

Information Collection (IC) Details

View Information Collection (IC)

CFI 141 USDA NASS, CFI 142 VA Outpatient, CFI 143 VA Inpatient CFI 141, CFI 142, CFI 143
 
New
 
Voluntary
 

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

General Government Central Records & Statistical Mgt

 

780 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 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

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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