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

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

OMB: 0938-1185

IC ID: 202627

Information Collection (IC) Details

View Information Collection (IC)

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

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10415 Instrument Instrument.docx Yes Yes Fillable Fileable

Health Health Care Services

 

1,000,000 0
   
Individuals or Households
 
   0 %

  Requested 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 1,000,000 0 0 0 0 0
Annual IC Time Burden (Hours) 67,000 0 0 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