Information Collection

GPRA Client Outcome

IC 187484 under ICR 201612-0930-002 · OMB 0930-0208.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0930-0208 can be found here:

Documents and Forms

Document Name Document Type
Form Recovery Measure C GPRA Client Outcome Form and Instruction
Recovery Measure C Recovery Measure CSAT_GPRA_Client_Outcome Recovery Measure CSAT_GPRA_Client_Outcome_Instrument_9.21.2016.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	GPRA Client Outcome	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form and Instruction	Recovery Measure CSAT_GPRA_Client_Outcome	Recovery Measure CSAT_GPRA_Client_Outcome	Recovery Measure CSAT_GPRA_Client_Outcome_Instrument_9.21.2016.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,252,030	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,252,030	-5,617	1,257,647
Annual IC Time Burden (Hours)	338,748	17,663	321,085
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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