Information Collection

Customer Satisfaction Online Survey for Applicants: Principal Investigators (Ver A and B)

IC 204294 under ICR 201308-0925-004 · OMB 0925-0665.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Attachment A3.3 Customer Satisfaction Online Survey for Applicants: Principal Investigators (Ver A and B)	Form and Instruction
Attachment A3.3 Screenshots of Customer Satisfaction Online Survey: PI ( Attachment A.3.3 - Screenshots Customer Satisfaction Online Survey for Applicants (Principal Investigators).pdf	Form and Instruction
Attachment A.3.1 - Customer Satisfaction Online Survey for Applicants (Principal Investigators).doc Attachment 3.1 Customer Satisfaction On-line Survey: PI (paper version)	IC Document
Attachment B.1.1 - Protocols Customer Satisfaction Survey Applicant.doc On-line Survey Protocols	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Attachment A3.3	Screenshots of Customer Satisfaction Online Survey: PI (Ver A&B)	Attachment A.3.3 - Screenshots Customer Satisfaction Online Survey for Applicants (Principal Investigators).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment 3.1 Customer Satisfaction On-line Survey: PI (paper version)	Attachment A.3.1 - Customer Satisfaction Online Survey for Applicants (Principal Investigators).doc	09/17/2012
On-line Survey Protocols	Attachment B.1.1 - Protocols Customer Satisfaction Survey Applicant.doc	09/26/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.