Information Collection

Coaching Satisfaction Survey

IC 207899 under ICR 201103-0930-003 · OMB 0930-0197.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0197 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Coaching Satisfact Coaching Satisfaction Survey	Form and Instruction
Coaching Satisfact Coaching Satisfaction Survey Contractor Coaching Satisfaction Survey Attachment 1, 6-25-13.doc	Form and Instruction
Trans.Let-11-2013.doc Transmittal Memo	IC Document
Contractor Coaching Satisfaction Survey, 6-25-13.doc Justification	IC Document

IC Title:

Coaching Satisfaction Survey

Agency IC Tracking Number:

IC Status: New

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	Coaching Satisfaction Survey	Coaching Satisfaction Survey	Contractor Coaching Satisfaction Survey Attachment 1, 6-25-13.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	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	20	0	0	0	0	0
Annual IC Time Burden (Hours)	7	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Transmittal Memo	Trans.Let-11-2013.doc	07/18/2013
Justification	Contractor Coaching Satisfaction Survey, 6-25-13.doc	07/18/2013

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