511 LBI ACSI Questionnaire FINAL.docx - 515 HRSA BPHC Grantee Survey 7-16-12.docx

American Customer Satisfaction Index "Customer Satisfaction Surveys"

OMB: 1090-0007

IC ID: 203404

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

511 LBI ACSI Questionnaire FINAL.docx - 515 HRSA BPHC Grantee Survey 7-16-12.docx 511 - 515
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 511 2012 511 LBI ACSI Questionnaire FINAL.docx 2012 511 LBI ACSI Questionnaire FINAL.docx No   Printable Only
Form and Instruction 512 2012 512 SCSE ACSI Questionnaire FINAL.docx 2012 512 SBSE ACSI Questionnaire FINAL.docx No   Printable Only
Form and Instruction 513 2012 513 WI ASCI Questionnaire FINAL.doc 2012 513 WI ACSI Questionnaire FINAL.doc No   Printable Only
Form and Instruction 514 2012 514 Customer Contact Center Survey E-Verify.docx 2012 514 Customer Contact Center Survey E-Verify.docx Yes Yes Fillable Fileable
Form and Instruction 515 2012 515 HRSA BPHC Grantee Survey 7-16-12.docx 2012 515 HRSA BPHC Grantee Survey 7-16-12.docx Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt

 

1,250 0
   
Individuals or Households
 
   40 %

  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 1,250 0 1,250 0 0 0
Annual IC Time Burden (Hours) 208 0 208 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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