User Fee Website Survey

Customer/Partner Service Surveys

OMB: 0910-0360

IC ID: 233247

Information Collection (IC) Details

View Information Collection (IC)

User Fee Website Survey OC
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Screenshots of Website Based Survey.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

829 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 829 0 829 0 0 0
Annual IC Time Burden (Hours) 66 0 66 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB Approval Memo 0360 OMB Approval Memo User Fee Website Survey 2018.doc 09/28/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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