Information Collection

Quality Followup Operations

IC 227089 under ICR 201706-0607-001 · OMB 0607-0999.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0999 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CoverageImprovementInstrumentScreenshots 05172017 1.3.pdf	Other-Coverage Improvement Instrumen
2018CT Field Verification Instrument Specification_Sprint 14_DRAFT.docx	Other-Field Verification Instrument

IC Title:

Quality Followup Operations

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Coverage Improvement Instrument			CoverageImprovementInstrumentScreenshots 05172017 1.3.pdf		Yes	Yes	Fillable Fileable
Other-Field Verification Instrument Specification			2018CT Field Verification Instrument Specification_Sprint 14_DRAFT.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,355

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10,355	10,355
Annual IC Time Burden (Hours)	1,726	1,726
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.