Chair Training

Generic Clearance for Satisfaction Surveys of Customers (CSR)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0474 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Chair Training Form and Instruction
1 Chair Training CSR ChairTraining survey rev.docx Form and Instruction
ChairTrainingMemo rev.doc ChairTrainingMemo rev IC Document
CSR_ChairTrainingSurvey_generic_form rev.doc CSR_ChairTrainingSurvey_generic_form rev IC Document

Information Collection (IC) Details

IC Title:	Chair Training	Agency IC Tracking Number:

IC Status: Modified

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	1	Chair Training	CSR ChairTraining survey rev.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

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: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ChairTrainingMemo rev	ChairTrainingMemo rev.doc	01/09/2012
CSR_ChairTrainingSurvey_generic_form rev	CSR_ChairTrainingSurvey_generic_form rev.doc	01/09/2012

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