NCI OFSM Shuttle Special Service

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

OMB: 0925-0642

IC ID: 231320

Information Collection (IC) Details

View Information Collection (IC)

NCI OFSM Shuttle Special Service
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 Shuttle Special Shuttle Special Survey.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

 

1,500 0
   
Individuals or Households
 
   100 %

  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 1,500 0 0 0 0 1,500
Annual IC Time Burden (Hours) 50 0 0 0 0 50
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
fast track template Shuttle Survey Fast Track Template -Shuttle Survey.doc 05/02/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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