Information Collection

Division of Veterinary Resources Customer Satisfaction Survey (OD)

IC 234772 under ICR 201906-0925-001 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Division of Veterinary Resources Customer Satisfaction Survey (OD)	Form and Instruction
1 GDB screenhots 011519-GDB-SCREENSHOTS-Division of Veterinary Resources Customer Satisfaction .docx	Form and Instruction
012919-GDB-DVR Customer Satisfaction Survey PRA Request for Approval Form_kc.doc Fast track GDB DVR Customer Satisfaction survey	IC Document
011519-GDB-Burden-DVR Customer Satisfaction Survey.docx (1).docx GDB Burden	IC Document

IC Title:

Division of Veterinary Resources Customer Satisfaction Survey (OD)

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	GDB screenhots	011519-GDB-SCREENSHOTS-Division of Veterinary Resources Customer Satisfaction .docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast track GDB DVR Customer Satisfaction survey	012919-GDB-DVR Customer Satisfaction Survey PRA Request for Approval Form_kc.doc	01/29/2019
GDB Burden	011519-GDB-Burden-DVR Customer Satisfaction Survey.docx (1).docx	01/29/2019

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