Survey Soliciting Employee Assistance Program (EAP) Customer Satisfaction (ORS/DOHS/OMS/OD)

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

OMB: 0925-0648

IC ID: 244759

Information Collection (IC) Details

View Information Collection (IC)

Survey Soliciting Employee Assistance Program (EAP) Customer Satisfaction (ORS/DOHS/OMS/OD)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 EAP COVID Survvey 12012020-AV-EAP COVID Survey (1).docx Yes Yes Fillable Fileable

Health Health Care Services

 

400 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 400 0 400 0 0 0
Annual IC Time Burden (Hours) 33 0 33 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
fast track EAP COVID Survey 12012020-AV-EAP COVID fast track template.docx 12/03/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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