OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Clinical Directors/Supervisors Web-based Survey

IC 198450 under ICR 201107-0930-001 · OMB 0930-0328.

Documents and Forms
Document Name
Document Type
Form and Instruction
Instruction
Form and Instruction
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Clinical Directors/Supervisors Web-based Survey
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Clinical Director Survey Clinical Director Survey Attachment 1.doc Yes Yes Paper Only
Form and Instruction Clinical Director Survey Clinical Director Survey Revised Attachment 1.doc Yes Yes Paper Only
Instruction Attachment 2.doc Yes No Printable Only

Health Health Care Services

 

569 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 569 0 569 0 0 0
Annual IC Time Burden (Hours) 569 0 569 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachments 4-10 Attachments4-10.pdf 06/08/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.