Information Collection

Pathways for Teamwork Customer Satisfaction Interviews

IC 226628 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 1 Pathways for Teamwork Customer Satisfaction Interviews	Form
1 Needs Analysis Interview Protocol Needs Analysis Interview Protocol_Revised_FINALforOMB_2017.04.28.docx	Form
Fast Track NCORP_FINAL_17.04.28.docx NCORP Fast Track	IC Document

IC Title:

Pathways for Teamwork Customer Satisfaction Interviews

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
Form	1	Needs Analysis Interview Protocol	Needs Analysis Interview Protocol_Revised_FINALforOMB_2017.04.28.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 24

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
NCORP Fast Track	Fast Track NCORP_FINAL_17.04.28.docx	05/01/2017

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