Patient Perception Survey (CC)

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

OMB: 0925-0648

IC ID: 230120

Information Collection (IC) Details

View Information Collection (IC)

Patient Perception Survey (CC)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 NIH Inpatient Mock-up - NRC Health NIHAIP Survey Mock-up - NRC Health.pdf No   Paper Only
Form 2 NIH Outpatient Mock-up -NRC Health NIHAOP Survey Mock-up - NRC Health.pdf No   Paper Only

Health Health Care Services

 

7,500 0
   
Individuals or Households
 
   0 %

  Requested 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 7,500 0 7,500 0 0 0
Annual IC Time Burden (Hours) 3,750 0 3,750 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Patient Perception Survey fast track Fast Track Request under GC 0925-0648 CC Patient Perception Surveys.doc 02/14/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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