Information Collection

Online Customer Service Survey About The Application Technical Assistance Webinar

IC 222516 under ICR 201501-0925-004 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
LRP Webinar Survey - Invitation Email-1.docx	Other-Invitation Email
1 LRP Webinar Survey LRP Webinar Survey - Screenshots-3.pptx	Form and Instruction
LRP Webinar Survey - PCB Fasttrack Template.doc Online Customer Service Survey About The Application Technical Assistance Webinar	IC Document

IC Title:

Online Customer Service Survey About The Application Technical Assistance Webinar

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Invitation Email			LRP Webinar Survey - Invitation Email-1.docx		Yes	Yes	Fillable Fileable
Form and Instruction	1	LRP Webinar Survey	LRP Webinar Survey - Screenshots-3.pptx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Online Customer Service Survey About The Application Technical Assistance Webinar	LRP Webinar Survey - PCB Fasttrack Template.doc	07/18/2016

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