OMB
.report
Search
Vendor Management Intake Form
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 0990-0379
IC ID: 221489
OMB.report
HHS/HHSDM
OMB 0990-0379
ICR 201503-0990-001
IC 221489
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:
2024-09-11 - No material or nonsubstantive change to a currently approved collection
2024-07-08 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
0990-0379 VMO Intake Form Template (sp5).pdf
Other-survey
0990-0379_Generic Clearance Submission for the Vendor Intake Form.docx
memo
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Vendor Management Intake Form
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-survey
0990-0379 VMO Intake Form Template (sp5).pdf
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Fiscal Operations
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
300
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 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
300
0
300
0
0
0
Annual IC Time Burden (Hours)
150
0
150
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
memo
0990-0379_Generic Clearance Submission for the Vendor Intake Form.docx
05/12/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.