OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Staff survey

IC 215076 under ICR 201701-0990-003 · OMB 0990-0428.

Documents and Forms
Document Name
Document Type
Other-survey
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Staff survey
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-survey 0990_New_ PAF Staff Survey_Final to OMB.docx No   Paper Only

Health Health Care Services

 

35 0
   
Individuals or Households
 
   0 %

  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 35 0 0 0 0 35
Annual IC Time Burden (Hours) 21 0 0 0 0 21
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Question by Question source Table for The staff Survey 0990-New_PAF_Attachment E_Question by Question Source Table.docx 02/24/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.