Regional Resource Network Program Questionnaire

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:

Documents and Forms

Document Name Document Type
0990-0379_RRNP questionnaire 3-26-14v(4 1).docx Other-questionnaire
0990-0379_Generic_Clearance_Submission_RRNP_06262014.docx Regional Resource Network Program Questionnaire IC Document

Information Collection (IC) Details

IC Title:	Regional Resource Network Program Questionnaire	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-questionnaire			0990-0379_RRNP questionnaire 3-26-14v(4 1).docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Regional Resource Network Program Questionnaire	0990-0379_Generic_Clearance_Submission_RRNP_06262014.docx	06/27/2014

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