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Federal forms, ICRs, and supporting documents

Information Collection

Transportation and Health Tool Website User Satisfaction Assessment

IC 222775 under ICR 201510-0923-001 · OMB 0923-0047.

Documents and Forms
Document Name
Document Type
Form
Instruction
Other-Telephone Interview
Instruction
Form
Form
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Transportation and Health Tool Website User Satisfaction Assessment 16AWD
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none User Satisfaction Survey A2_THT Online UsrStsfctnSrvy.docx Yes Yes Fillable Fileable
Form none User Satisfaction Survey - screenshots A3_THT OnlneSrvyScrnshts.pdf Yes Yes Fillable Fileable
Instruction A4_THT RcruitmntEmlTlphnIntrvwUsbltyTstrs.docx Yes Yes Fillable Fileable
Other-Telephone Interview A5_THT UsrStsfctnTlphneIntrvw.docx Yes No Paper Only
Instruction A1_THTRcrtmntEmlOnlneUsrStsfcnSurvey.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

450 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 450 0 450 0 0 0
Annual IC Time Burden (Hours) 78 0 78 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval 0923-0047 NCEH-ATSDR CustomerFeedback_THTUserSatisfactionAsses.pdf 08/01/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.