Healthcare Teams Cyber Discussion Feedback Survey (NCI)

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

OMB: 0925-0642

IC ID: 234680

Information Collection (IC) Details

View Information Collection (IC)

Healthcare Teams Cyber Discussion Feedback Survey (NCI)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Healthcare Teams CD Survey Healthcare Teams CD Evaluation Survey FINAL 12.6.18.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

100 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 100 0 100 0 0 0
Annual IC Time Burden (Hours) 8 0 8 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Healthcare Teams Fast Track Healthcare Teams Fast Track Final 12.6.18 v2.docx 01/08/2019
participant invitation letter Participant_Invitation Letter 12-6-18.docx 01/08/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy