ACSI Survey HRSA BHW NURSE Corps

American Customer Satisfaction Index "Customer Satisfaction Surveys"

OMB: 1090-0007

IC ID: 233382

Information Collection (IC) Details

View Information Collection (IC)

ACSI Survey HRSA BHW NURSE Corps 023-20317 A1 (2)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 023-20317 A1 (2) HRSA BHW Nurse Corps Participant Survey NURSE Corps 2018 Participant Survey_IA 20317.xlsx Yes Yes Fillable Printable

General Government Central Records & Statistical Mgt

 

250 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 250 0 250 0 0 0
Annual IC Time Burden (Hours) 50 0 50 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
ACSI Survey HRSA BHW NURSE Corps 1090-0007 Generic Clearance Request Form HRSA NURSE Corp_IA 20317 A1-.pdf 10/03/2018
ACSI Survey HRSA BHW NURSE Corps OMB Mapping HRSA NURSE Corp IA 20317 A1.xlsx 10/03/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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