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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.