Information Collection

VTrckS Contact Center Customer Satisfaction Survey 2015

IC 218726 under ICR 201407-0920-001 · OMB 0920-1026.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
VTrckS Survey 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

IC Title:

Agency IC Tracking Number:

16BY

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	none				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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval		10/25/2015

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

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