User Satisfaction Surevy for MICAD Users

Request for Generic Clearance to Conduct Voluntary Customer/Partner Surveys(NLM)

OMB: 0925-0476

IC ID: 203727

Information Collection (IC) Details

View Information Collection (IC)

User Satisfaction Surevy for MICAD Users
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Survey for MICAD Users screenshots MICAD_survey_sceenshots_7_18_2012[1].pdf Yes Yes Fillable Printable

Health Public Health Monitoring

 

300 0
   
Individuals or Households
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 300 0 0 0 0 300
Annual IC Time Burden (Hours) 10 0 0 0 0 10
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Mini Supporting Statement MICAD 2012 - NLM Mini-Supporting Statement_ML Surveys_MICAD Users August 2012 FINAL.doc 08/15/2012
Generic Clearance Request Form MICAD 2012 - NLM Generic Clearance Request Form_MICAD Survey July 2012.doc 08/15/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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