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Federal forms, ICRs, and supporting documents

Information Collection

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

IC 218255 under ICR 201412-1090-003 · OMB 1090-0007.

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

View Information Collection (IC)

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

Document Type Form No. Form Name Instrument File URL 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

General Government Central Records & Statistical Mgt

 

750 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 750 0 750 0 0 0
Annual IC Time Burden (Hours) 188 0 188 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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