Office of the Assistant Secretary for Health (OASH) Region X External Customer Satisfaction Survey

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:

Documents and Forms

Document Name Document Type
RX Webinar Survey Questions - Final (3).doc Other-survey
R10Survey Clearance Document R10.docx Memo_Office of the Assistant Secretary for Health (OASH) Region X External Customer Satisfaction Survey IC Document

Information Collection (IC) Details

IC Title:	Office of the Assistant Secretary for Health (OASH) Region X External Customer Satisfaction Survey	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			RX Webinar Survey Questions - Final (3).doc		Yes	No	Paper Only

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,020	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: 75 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,020	1,020
Annual IC Time Burden (Hours)	170	170
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Memo_Office of the Assistant Secretary for Health (OASH) Region X External Customer Satisfaction Survey	R10Survey Clearance Document R10.docx	05/04/2017

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