Information Collection

Customer Satisfaction Survey for 2018 UNGA AMR Side Event

IC 232787 under ICR 201711-0920-019 · OMB 0920-1071.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1071 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1071 Customer Satisfaction Survey for 2018 UNGA AMR Side Event	Form and Instruction
0920-1071 UNGA 2018 - AMR Side Event Survey and Emails UNGA 2018 - AMR Side Event Customer Satisfaction Survey Items and Email_....docx	Form and Instruction
UNGA 2018 AMR Side Event - Service Delivery Fast Track Template_20180821....docx GenIC Fasttrack Template	IC Document

IC Title:

Customer Satisfaction Survey for 2018 UNGA AMR Side Event

Agency IC Tracking Number:

0920-1071-18AXC

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
Form and Instruction	0920-1071	UNGA 2018 - AMR Side Event Survey and Emails	UNGA 2018 - AMR Side Event Customer Satisfaction Survey Items and Email_....docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

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	300	300
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC Fasttrack Template	UNGA 2018 AMR Side Event - Service Delivery Fast Track Template_20180821....docx	08/22/2018

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