Feedback Questionnaire for Patients Visiting Mobile Web site

Assessing the Feasibility of Disseminating Effective Health Center Products through Mobile Phone Applications

OMB: 0935-0193

IC ID: 201015

Information Collection (IC) Details

View Information Collection (IC)

Feedback Questionnaire for Patients Visiting Mobile Web site
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Form #5 Feedback Questionnaire for Patients Visiting the Mobile Web site Attachment G -- Feedback Questionnaire for Patients Visiting Mobile Web Site.docx Yes Yes Fillable Fileable

Health Immunization Management

 

200 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 200 0 200 0 0 0
Annual IC Time Burden (Hours) 33 0 33 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy