Feedback Survey

Assisted Reproductive Technology (ART) Program Reporting System

OMB: 0920-0556

IC ID: 203355

Documents and Forms
Document Name
Document Type
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Feedback Survey
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Feedback Survey Att C4. Clinic Survey.docx Yes Yes Fillable Fileable

Health Health Care Services

 

335 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 335 0 0 0 0 335
Annual IC Time Burden (Hours) 11 0 0 0 0 11
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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