Information Collection

Customer Satisfaction Survey for CBIIT Town Hall and NCI Orientation. (NCI)

IC 243575 under ICR 202002-0925-002 · OMB 0925-0642.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Customer Satisfaction Survey for CBIIT Town Hall and NCI Orientation. (NCI)	Form
1 CBIIT Town Hall and NCI Orientation survey CBIIT Town Hall and NCI Orientation Survey.docx	Form
Fast Track Request CBIIT Town Hall and NCI Orientation.docx fast track CBIIT Town Hall and NCI Orientation survey	IC Document

IC Title:

Customer Satisfaction Survey for CBIIT Town Hall and NCI Orientation. (NCI)

Agency IC Tracking Number:

IC Status: New

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	1	CBIIT Town Hall and NCI Orientation survey	CBIIT Town Hall and NCI Orientation Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
fast track CBIIT Town Hall and NCI Orientation survey	Fast Track Request CBIIT Town Hall and NCI Orientation.docx	09/10/2020

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