Healthcare News Subscriber Survey

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

OMB: 0920-0974

IC ID: 218154

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Healthcare News Subscriber Survey 15BES
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0974 15BES 03__Screen Shots of Healthcare News Subscriber Survey updated 09-09-2015 03__Screen Shots of Healthcare News Subscriber Survey updated 09-09-2015.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

31,500 0
   
Individuals or Households
 
   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 31,500 0 31,500 0 0 0
Annual IC Time Burden (Hours) 5,250 0 5,250 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
01__Request for Approval Form 01__Request for Approval Form v2015-08-17.docx 09/10/2015
02__Invitation to participate 2 02__Invitation to participate 2015-08-14.docx 09/10/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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