Information Collection

NCI OSFM Customer Satisfaction Shuttle Survey

IC 221142 under ICR 201406-0925-004 · OMB 0925-0642.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 NCI OSFM Customer Satisfaction Shuttle Survey	Form and Instruction
1 Attachment A Survey Attachment A- Survey.pdf	Form and Instruction
Fast Track -Shuttle Survey Final.docx Fast Track - Shuttle Survey	IC Document

IC Title:

NCI OSFM Customer Satisfaction Shuttle Survey

Agency IC Tracking Number:

IC Status: New

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	1	Attachment A Survey	Attachment A- Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 231

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	924	924
Annual IC Time Burden (Hours)	31	31
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track - Shuttle Survey	Fast Track -Shuttle Survey Final.docx	04/20/2016

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