Data Sharing for Demographic Research (DSDR) Customer Satisfaction Survey

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

OMB: 0925-0643

IC ID: 211191

Information Collection (IC) Details

View Information Collection (IC)

Data Sharing for Demographic Research (DSDR) Customer Satisfaction Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 DSDR Screenshots DSDR Customer Satisfaction Survey - Screenshots_0925-0643.docx Yes Yes Fillable Fileable

Health Health Care Services

 

12,000 0
   
Individuals or Households
 
   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 12,000 0 12,000 0 0 0
Annual IC Time Burden (Hours) 2,000 0 2,000 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Template DSDR Generic_Template_DSDR_NICHD_0925-0643.doc 04/09/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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