2013 527 CMS MAC Questionniare - 2013 528 HRSA MCHB - MIECHV Questionnaire

American Customer Satisfaction Index "Customer Satisfaction Surveys"

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0007 can be found here:

Documents and Forms

Document Name Document Type
Form 527 2013 527 CMS MAC Questionniare - 2013 528 HRSA MCHB - MIECHV Questionnaire Form and Instruction
527 2013 527 CMS MAC Questionnaire FINAL 2013 527 CMS MAC Questionnaire FINAL.docx Form and Instruction
528 2013 528 HRSA MCHB - MIECHV Questionnaire 2013 528 HRSA MCHB - MIECHV Questionnaire - 10.0.docx Form and Instruction

Information Collection (IC) Details

IC Title:	2013 527 CMS MAC Questionniare - 2013 528 HRSA MCHB - MIECHV Questionnaire	Agency IC Tracking Number:	527 - 528

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	527	2013 527 CMS MAC Questionnaire FINAL	2013 527 CMS MAC Questionnaire FINAL.docx		Yes	Yes	Fillable Fileable
Form and Instruction	528	2013 528 HRSA MCHB - MIECHV Questionnaire	2013 528 HRSA MCHB - MIECHV Questionnaire - 10.0.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 700	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	700	700
Annual IC Time Burden (Hours)	292	292
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.