UDS Reporting Modernization Customer Satisfaction Survey

Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration

OMB: 0915-0212

IC ID: 234766

Information Collection (IC) Details

View Information Collection (IC)

UDS Reporting Modernization Customer Satisfaction Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 UDS Reporting Modernization Customer Satisfaction Survey UDS Reporting Modernization Customer Satisfaction Survey 01.03.19.docx Yes Yes Fillable Fileable

Health Health Care Services

 

1,469 0
   
Private Sector Not-for-profit institutions
 
   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 1,469 0 1,469 0 0 0
Annual IC Time Burden (Hours) 122 0 122 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
UDS Survey Supporting Statement UDS Survey Supporting Statement 01.03.19.docx 01/28/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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