RAS Initiative Symposium Feedback Questionnaire

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0642 can be found here:

Documents and Forms

Document Name Document Type
Form 1 RAS Initiative Symposium Feedback Questionnaire Form and Instruction
1 RAS Survey Screenshots RAS Survey Screenshots.docx Form and Instruction
RAS Symposium Fast Track Request.docx RAS Symposium Fast Track IC Document
Email Invitation.docx Email Invitation IC Document

Information Collection (IC) Details

IC Title:	RAS Initiative Symposium Feedback Questionnaire	Agency IC Tracking Number:

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
Form and Instruction	1	RAS Survey Screenshots	RAS Survey Screenshots.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 350	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
RAS Symposium Fast Track	RAS Symposium Fast Track Request.docx	01/06/2016
Email Invitation	Email Invitation.docx	01/06/2016

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