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Federal forms, ICRs, and supporting documents

Information Collection

Office of Medical Services Medical Clearance Process Customer Satisfaction Survey

IC 213943 under ICR 201412-0420-001 · OMB 0420-0545.

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

View Information Collection (IC)

Office of Medical Services Medical Clearance Process Customer Satisfaction Survey
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form PC-2142 OHS Medical Clearance Process Customer Survey Customer satisfaction survey.pdf Yes Yes Fillable Fileable
Instruction Survey link message-Final.docx Yes Yes Fillable Fileable

International Affairs and Commerce International Development and Humanitarian Aid

 

500 0
   
Individuals or Households
 
   100 %

  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 500 0 0 0 0 500
Annual IC Time Burden (Hours) 42 0 0 0 0 42
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OHS Customer Survey Generic Clearance Submission OHS Customer Survey Generic Clearance Submission-Final.docx 11/18/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.