2015 754 HRSA HAB CAREWare Customer Satisfaction and User Questionnaire - 2015 756 VBA Insurance Overall Questionnaire

American Customer Satisfaction Index "Customer Satisfaction Surveys"

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0007 can be found here:

Documents and Forms

Document Name Document Type
Form 754 2015 754 HRSA HAB CAREWare Customer Satisfaction and User Questionnaire - 2015 756 VBA Insurance Overall Questionnaire Form and Instruction
754 2015 754 HRSA HAB CAREWare Customer Satisfaction and Use 2015 754 HRSA HAB CAREWare Customer Satisfaction and User Questionnaire.docx Form and Instruction
755 2015 755 HRSA HAB - ART Survey 2015 755 HRSA HAB - ART Survey.docx Form and Instruction
756 2015 756 VBA Insurance Overall Questionnaire 2015 756 VBA Insurance Overall Questionnaire.docx Form and Instruction

Information Collection (IC) Details

IC Title:	2015 754 HRSA HAB CAREWare Customer Satisfaction and User Questionnaire - 2015 756 VBA Insurance Overall Questionnaire	Agency IC Tracking Number:	754 - 756

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	754	2015 754 HRSA HAB CAREWare Customer Satisfaction and User Questionnaire	2015 754 HRSA HAB CAREWare Customer Satisfaction and User Questionnaire.docx	Yes	Yes	Fillable Fileable
Form and Instruction	755	2015 755 HRSA HAB - ART Survey	2015 755 HRSA HAB - ART Survey.docx	Yes	Yes	Fillable Fileable
Form and Instruction	756	2015 756 VBA Insurance Overall Questionnaire	2015 756 VBA Insurance Overall Questionnaire.docx	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 750	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	750	750
Annual IC Time Burden (Hours)	188	188
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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