2nd RAS Initiative Symposium Feedback Survey

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⚠️ Notice: This information collection may be referencing outdated material.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 2nd RAS Initiative Symposium Feedback Survey Form
1 2nd RAS survey questions 2nd RAS survey Questions.pdf Form
RAS Fast Track (002).docx RAS Fast track IC Document

Information Collection (IC) Details

IC Title:	2nd RAS Initiative Symposium Feedback Survey	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	2nd RAS survey questions	2nd RAS survey Questions.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 350	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	350	350
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
RAS Fast track	RAS Fast Track (002).docx	01/23/2018

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