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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.