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Federal forms, ICRs, and supporting documents

Information Collection

Customer Satisfaction Telephone Survey and Telephone Interview for the Evaluation of the Office on Women's Health (OWH) Helpline/Call Center

IC 222750 under ICR 201503-0990-001 · OMB 0990-0379.

Documents and Forms
Document Name
Document Type
Other-interview
Other-scheduling
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Customer Satisfaction Telephone Survey and Telephone Interview for the Evaluation of the Office on Women's Health (OWH) Helpline/Call Center
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-interview 0990-0379 OWH Helpline Call Interview Passback. Post Call Int. CC docx.docx No   Paper Only
Other-scheduling 0990-0379 OWH Helpline Call Scheduling Passback. CCdoc.doc No   Paper Only

Health Health Care Services

 

220 0
   
Individuals or Households
 
   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 220 0 220 0 0 0
Annual IC Time Burden (Hours) 17 0 17 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
memo 0990-0379 OMB Final Generic Approval OWH Helpline Memo Passback 2 CC (2).docx 07/29/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.