Information Collection

National Center for Complementary and Alternative Medicine (NCCAM) Customer Service Data Collection

IC 43629 under ICR 200909-0925-001 · OMB 0925-0520.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 National Center for Complementary and Alternative Medicine (NCCAM) Customer Service Data Collection	Form
1 Survey APPENDIX A Survey Instrument.doc	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	Survey	APPENDIX A Survey Instrument.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 983

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	983	-1,066	2,049
Annual IC Time Burden (Hours)	74	-59	133
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.