Survey

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

Attachment A_Children’s Hospital Collaboration Forum_ Survey

Children's Hospital Collaboration Forum Customer Satisfaction Survey

OMB: 0920-1026

Document [pdf]

Download: pdf | pdf

Form Approved
OMB No: 0920-1026
Exp. Date: 07/31/2017

Public reporting burden of this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency
may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control
number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this
burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D74, Atlanta, Georgia 30333; ATTN: PRA (0920-1026)

File Type	application/pdf
File Modified	2015-01-23
File Created	2015-01-23