CWT IT Consumers Satisfaction Survey_1

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCA, VBA, VHA)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0770 can be found here:

Documents and Forms

Document Name Document Type
CWT IT Consumers Satisfaction Survey.doc Other-Survey
PRA Satisfaction Survey Approval Request - CWT IT Consumers.docx CWT IT Consumers Generic Request IC Document

Information Collection (IC) Details

IC Title:	CWT IT Consumers Satisfaction Survey_1	Agency IC Tracking Number:	2900-0770

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
Other-Survey			CWT IT Consumers Satisfaction Survey.doc		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	20	20
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
CWT IT Consumers Generic Request	PRA Satisfaction Survey Approval Request - CWT IT Consumers.docx	11/02/2016

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