Treatment Satisfaction Survey - NYU

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

OMB: 0920-0953

IC ID: 235409

Information Collection (IC) Details

View Information Collection (IC)

Treatment Satisfaction Survey - NYU 0920-0953-19AEP
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Treatment Satisfaction Survey - English FINAL treatment survey english.pdf Yes Yes Fillable Fileable
Form none Treament Satisfaction Survey - Spanish FINAL treatment survey spanish.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

500 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 500 0 500 0 0 0
Annual IC Time Burden (Hours) 17 0 17 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval OMB Fast Track Submission__NYU_treatment_3.21.19.docx 03/21/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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