Stakeholder Experience of HHS Regional Service Delivery

Fast Track Generic Clearance for the Collection of Routine Customer Feedback - HHS Communication

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0459 can be found here:

Documents and Forms

Document Name Document Type
0990-0459 ORP Survey Questions_2-11-19.docx Other-survey
Presentation1 - original ORP survey submission Feb 2019.pdf Other-Screenshots
0990-0459 Fast Track MEMO ORP Stateholder Engagement Request -v 2.docx memo IC Document

Information Collection (IC) Details

IC Title:	Stakeholder Experience of HHS Regional Service Delivery	Agency IC Tracking Number:

IC Status: New

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
Other-Screenshots			Presentation1 - original ORP survey submission Feb 2019.pdf		Yes	Yes	Fillable Fileable Signable
Other-survey			0990-0459 ORP Survey Questions_2-11-19.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
memo	0990-0459 Fast Track MEMO ORP Stateholder Engagement Request -v 2.docx	02/12/2019

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