TA Requestor

Disaster Technical Assistance Center Disaster Mental Health Needs Assessment and Customer Satisfaction Survey

OMB: 0930-0325

IC ID: 197110

Information Collection (IC) Details

View Information Collection (IC)

TA Requestor
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Cust Sat Survey Cust Sat Survey DTAC Cust Sat Questionnaire_060611_FINAL.doc Yes Yes Paper Only

Health Health Care Services

 

250 0
   
State, Local, and Tribal Governments
 
   100 %

  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 250 0 250 0 0 0
Annual IC Time Burden (Hours) 63 0 63 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Cust Sat Email B.2 Cust Sat Email Invitation_FINAL.docx 03/29/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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