Fellowship Review Evaluation

Generic Clearance for Satisfaction Surveys of Customers (CSR)

OMB: 0925-0474

IC ID: 201488

Information Collection (IC) Details

View Information Collection (IC)

Fellowship Review Evaluation
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Survey FellowshipReviewScreenshot[1].pdf Yes Yes Fillable Fileable

Health Health Care Services

 

100 0
   
Individuals or Households
 
   0 %

  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 100 0 0 0 0 0
Annual IC Time Burden (Hours) 17 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
FellowshipReview Memo[1] FellowshipReview Memo[1].doc 03/06/2012
CSR_FellowshipReviewSurvey_generic_form[1] CSR_FellowshipReviewSurvey_generic_form[1].doc 03/06/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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