SurgeonGeneral.gov Site-wide Satisfaction Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

OMB: 0990-0379

IC ID: 226436

Information Collection (IC) Details

View Information Collection (IC)

SurgeonGeneral.gov Site-wide Satisfaction Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey 0990-0379 SurgeonGeneral.gov-Site-Wide-Satisfaction-Survey-updated.docx Yes Yes Fillable Fileable

Health Health Care Services

 

5,000 0
   
Individuals or Households
 
   100 %

  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 5,000 0 5,000 0 0 0
Annual IC Time Burden (Hours) 417 0 417 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
memo 0990-0379 Generic Clearance Submission-SurgeonGeneral.gov Site-Wide Satisfaction Survey.docx 04/18/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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