2012 IRG Stakeholder Survey

Generic Clearance for Satisfaction Surveys of Customers (CSR)

OMB: 0925-0474

IC ID: 206542

Information Collection (IC) Details

View Information Collection (IC)

2012 IRG Stakeholder Survey
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 2012 IRG Stakeholder Survey 2012 IRG Stakeholder Survey Screenshot 4.2013.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

180 0
   
Individuals or Households
 
   0 %

  Requested 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 180 0 0 0 0 180
Annual IC Time Burden (Hours) 45 0 0 0 0 45
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
2012 IRG Stakeholder Survey Justification Memo IRG Stakeholder Memo ver2 4.2103.doc 04/15/2013
2012 IRH Stakeholder Survey - Generic Template 2012 IRG StakeholderSurvey Generic Template MemoCSR ver2 4.2013.doc 04/15/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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