2019 233 MHS Genesis Beneficiaries Feedback Survey

E-Government Website Customer Satisfaction Surveys

OMB: 1090-0008

IC ID: 237055

Information Collection (IC) Details

View Information Collection (IC)

2019 233 MHS Genesis Beneficiaries Feedback Survey 233
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 233 2019 233 MHS Genesis Beneficiaries Feedback Survey 2019 233 MHS Genesis Beneficiaries Feedback Survey.docx Yes Yes Fillable Fileable

General Government Central Records & Statistical Mgt

 

3,600 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 3,600 0 3,600 0 0 0
Annual IC Time Burden (Hours) 150 0 150 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
1090-0008 Generic Clearance Request Form 09132018 July 8 2019 TRICARE MH 1090-0008 Generic Clearance Request Form 09132018 July 8 2019 TRICARE MH.pdf 07/23/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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