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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Pathways for Teamwork Customer Satisfaction Interviews	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
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 %

	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

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.