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2014 549 NHSC Participant Questionnaire - 2014 550 Nurse Corps Participant Questionnaire
American Customer Satisfaction Index "Customer Satisfaction Surveys"
OMB: 1090-0007
IC ID: 211619
OMB.report
DOI/ASPMB
OMB 1090-0007
ICR 201209-1090-001
IC 211619
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0007 can be found here:
2021-09-21 - Extension without change of a currently approved collection
2018-07-27 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 550
2014 549 NHSC Participant Questionnaire - 2014 550 Nurse Corps Participant Questionnaire
Form and Instruction
549 2014 549 NHSC Participant Questionnaire
2014 549 NHSC Participant Questionnaire_FINAL.docx
Form and Instruction
550 2014 NURSE Corps Participant Questionnaire
2014 550 NURSE Corps Participant Questionnaire - FINAL.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
2014 549 NHSC Participant Questionnaire - 2014 550 Nurse Corps Participant Questionnaire
Agency IC Tracking Number:
549 - 550
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
550
2014 NURSE Corps Participant Questionnaire
2014 550 NURSE Corps Participant Questionnaire - FINAL.docx
Yes
Yes
Fillable Fileable
Form and Instruction
549
2014 549 NHSC Participant Questionnaire
2014 549 NHSC Participant Questionnaire_FINAL.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Records & Statistical Mgt
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
500
0
500
0
0
0
Annual IC Time Burden (Hours)
125
0
125
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.