OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Customer Feedback Survey of 2015 EIS Conference

IC 215171 under ICR 201410-0920-001 · OMB 0920-0919.

Documents and Forms
Document Name
Document Type
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Form
Form
IC Document
IC Document
IC Document
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Information Collection (IC) Details

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Customer Feedback Survey of 2015 EIS Conference 15PH
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none 2015 EIS Conference Survey Att_2_Customer_Service_Feedback_Survey_Screenshots.docx Yes Yes Fillable Fileable
Form none 2015 EIS Conference Survey Att_1_2015 EIS Conf Customer_Service_Survey.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

2,000 0
   
Individuals or Households
 
   100 %

  Approved 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 2,000 0 2,000 0 0 0
Annual IC Time Burden (Hours) 333 0 333 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Survey Flyer Post Conference Flyer02212015_blank.pdf 02/23/2015
Request for Approval GenIC_Request_2015_EIS_Conf_20150212.docx 02/23/2015
Request Summary 2015 EIS Conf Cust Survey_New Requirements_Final.docx 02/23/2015
Invitation email Att_4_Invitation Email.docx 02/23/2015
Reminder email Att_5_Reminder_Email.docx 02/23/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.