Information Collection

CTP Exchange Lab Customer Satisfaction Survey

IC 243442 under ICR 201710-0910-006 · OMB 0910-0697.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0910-0697 can be found here:

Documents and Forms

Document Name Document Type
Attachment A - Exchange Lab Customer Satisfaction Survey.docx Other-Survey Instrument
0697 Approval Memo - CTP Exchange Lab Customer Satisfaction Survey 2020.docx OMB Approval Memo IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CTP Exchange Lab Customer Satisfaction Survey	Agency IC Tracking Number:	CTP

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-Survey Instrument			Attachment A - Exchange Lab Customer Satisfaction Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,184	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,184	2,184
Annual IC Time Burden (Hours)	36	36
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Approval Memo	0697 Approval Memo - CTP Exchange Lab Customer Satisfaction Survey 2020.docx	09/01/2020

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