Health IT Website Satisfaction Survey

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

OMB: 0990-0379

IC ID: 228489

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Health IT Website Satisfaction Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-form 0990-0379 HEALTHITSurvey Instrument.docx Yes Yes Fillable Fileable

Health Health Care Services

 

12,796 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 12,796 0 12,796 0 0 0
Annual IC Time Burden (Hours) 427 0 427 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
memo 0990-0379 HEALTHITGeneric Clearance Submission Template.pdf 09/27/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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