Information Collection

2013 531 HRSA Nurse Corp LRP and SP Critical Shortage Facilities - 2013 534 E-Verification Customer Satisfaction Survey

IC 207918 under ICR 201209-1090-001 · OMB 1090-0007.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 534 2013 E-Verification Customer Satisfaction Survey 2013 531 HRSA Nurse Corp LRP and SP Critical Shortage Facilities - 2013 534 E-Verification Customer Satisfaction Survey	Form and Instruction
Form 531 2013 531 HRSA Nurse Corp LRP and SP Critical Shortage Facilities 2013 531 HRSA Nurse Corp LRP and SP Critical Shortage Facilities - 2013 534 E-Verification Customer Satisfaction Survey	Form and Instruction
Form 532 2013 532 NASA LANCE Questionnaire 2013 531 HRSA Nurse Corp LRP and SP Critical Shortage Facilities - 2013 534 E-Verification Customer Satisfaction Survey	Form and Instruction
Form 533 2013 533 Customer Contact Center Survey E-Verify 2013 531 HRSA Nurse Corp LRP and SP Critical Shortage Facilities - 2013 534 E-Verification Customer Satisfaction Survey	Form and Instruction
531 2013 531 HRSA Nurse Corp LRP and SP Critical Shortage Fa 2013 531 HRSA Nurse Corp LRP and SP Critical Shortage Facilities - Final (3).docx	Form and Instruction
532 2013 532 NASA LANCE Questionnaire 2013 532 NASA LANCE Questionnaire Final Version.docx	Form and Instruction
533 2013 533 Customer Contact Center Survey E-Verify 2013 533 Customer Contact Center Survey E-Verify FINAL.docx	Form and Instruction
534 2013 E-Verification Customer Satisfaction Survey 2013 534 E-Verification Customer Satisfaction Survey FINALRev8.1.13.docx	Form and Instruction

IC Title:

2013 531 HRSA Nurse Corp LRP and SP Critical Shortage Facilities - 2013 534 E-Verification Customer Satisfaction Survey

Agency IC Tracking Number:

531 - 534

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	534	2013 E-Verification Customer Satisfaction Survey	2013 534 E-Verification Customer Satisfaction Survey FINALRev8.1.13.docx	Yes	Yes	Fillable Fileable
Form and Instruction	531	2013 531 HRSA Nurse Corp LRP and SP Critical Shortage Facilities	2013 531 HRSA Nurse Corp LRP and SP Critical Shortage Facilities - Final (3).docx	Yes	Yes	Fillable Fileable
Form and Instruction	532	2013 532 NASA LANCE Questionnaire	2013 532 NASA LANCE Questionnaire Final Version.docx	Yes	Yes	Fillable Fileable
Form and Instruction	533	2013 533 Customer Contact Center Survey E-Verify	2013 533 Customer Contact Center Survey E-Verify FINAL.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: 1,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.