Information Collection

Self-Administered Customer Satisfaction Surveys of Meetings and Conference Sessions

IC 188009 under ICR 201005-0925-003 · OMB 0925-0585.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0585 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Self-Administered Customer Satisfaction Surveys of Meetings and Conference Sessions	Form and Instruction
1 questionaire CSS Appendix 1 Participant Questionnaire.doc	Form and Instruction
CSS OMB Cover Ltr 09-0130.doc CSS OMB Cover Ltr 09-0130	IC Document
CSS GenericClearanceForm 09-0130.doc CSS GenericClearanceForm 09-0130	IC Document
CSS Mini Supporting Statement 09-0130.doc CSS Mini Supporting Statement 09-0130	IC Document
CSS Appendix 2 IRB Exemption Review.doc CSS Appendix 2 IRB Exemption Review	IC Document

IC Title:

Self-Administered Customer Satisfaction Surveys of Meetings and Conference Sessions

Agency IC Tracking Number:

IC Status: Unchanged

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 and Instruction	1	questionaire	CSS Appendix 1 Participant Questionnaire.doc		Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 805

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	805	805
Annual IC Time Burden (Hours)	161	161
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CSS OMB Cover Ltr 09-0130	CSS OMB Cover Ltr 09-0130.doc	02/04/2009
CSS GenericClearanceForm 09-0130	CSS GenericClearanceForm 09-0130.doc	02/04/2009
CSS Mini Supporting Statement 09-0130	CSS Mini Supporting Statement 09-0130.doc	02/04/2009
CSS Appendix 2 IRB Exemption Review	CSS Appendix 2 IRB Exemption Review.doc	02/04/2009

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.