Request For Feedback From Student Veterinarians On Recruitment Incentive Programs

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0583-0151 can be found here:

Documents and Forms

Document Name Document Type
phv survey 04252017.docx Other-survey
PHV Generic Clearance Certification Page.docx PHV Generic Clearance Certification Page IC Document

Information Collection (IC) Details

IC Title:	REQUEST FOR FEEDBACK FROM STUDENT VETERINARIANS ON RECRUITMENT INCENTIVE PROGRAMS	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-survey			phv survey 04252017.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	233	233
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
PHV Generic Clearance Certification Page	PHV Generic Clearance Certification Page.docx	04/25/2017

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