Information Collection

Regional Resource Network Program Questionnaire (RRNP)

IC 215151 under ICR 201407-0990-001 · OMB 0990-0379.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:

Documents and Forms

Document Name Document Type
0990-0379_RRNP questionnaire modified Feb 2 2015.docx Other-questionnaire
0990-0379_Generic_Clearance IC -RRNP_1 29 15LC.docx Generic Clearance Customer Feedback_ RRNP IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Regional Resource Network Program Questionnaire (RRNP)	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
Other-questionnaire			0990-0379_RRNP questionnaire modified Feb 2 2015.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 750	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	750	750
Annual IC Time Burden (Hours)	188	188
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Clearance Customer Feedback_ RRNP	0990-0379_Generic_Clearance IC -RRNP_1 29 15LC.docx	02/20/2015

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