2017 NCORP Annual Meeting Assessment and Feedback

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0642 can be found here:

Documents and Forms

Document Name Document Type
Form 1 2017 NCORP Annual Meeting Assessment and Feedback Form
1 SurveyMonkey for NCORP SurveyMonkey_120480718.pdf Form
OMB Fast Track - NCORP Annual Meeting 8-14-2017.docx Fast track - NCORP Annual Meeting IC Document

Information Collection (IC) Details

IC Title:	2017 NCORP Annual Meeting Assessment and Feedback	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	SurveyMonkey for NCORP	SurveyMonkey_120480718.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 225	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	225	225
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast track - NCORP Annual Meeting	OMB Fast Track - NCORP Annual Meeting 8-14-2017.docx	08/15/2017

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