2014 EIS Conference Customer Feedback Survey

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

OMB: 0920-0919

IC ID: 211095

Information Collection (IC) Details

View Information Collection (IC)

2014 EIS Conference Customer Feedback Survey 14SS
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Survey Screenshots Att 1a_EIS Conference Survey Screenshots 04012014.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

1,800 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 1,800 0 1,800 0 0 0
Annual IC Time Burden (Hours) 150 0 150 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Clearance GenIC Clearance Submission EIS 04012014.docx 04/03/2014
Survey Word Version Att 1_EIS Conf Eval Questions 04012014.docx 04/03/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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