VTrckS Contact Center Customer Satisfaction Survey 2015

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

Documents and Forms

Document Name Document Type
VTrckS Contact Center Customer Satisfaction Survey 2015 Form
VTrckS Survey Attachment A_VTrckS Contact Center Customer Satisfaction Survey_2015_Screen Shots.pdf Form
0920-1026_GenIC_VTrckS Contact Center Customer Satisfaction Survey_2015.docx Request for Approval IC Document

Information Collection (IC) Details

IC Title:	VTrckS Contact Center Customer Satisfaction Survey 2015	Agency IC Tracking Number:	16BY

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	none	VTrckS Survey	Attachment A_VTrckS Contact Center Customer Satisfaction Survey_2015_Screen Shots.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Immunization Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 62	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	62	62
Annual IC Time Burden (Hours)	62	62
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	0920-1026_GenIC_VTrckS Contact Center Customer Satisfaction Survey_2015.docx	10/25/2015

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