Information Collection

Enterprise Contact Center Council Community Care (ECCC CC) Survey

IC 244301 under ICR 202003-2900-011 · OMB 2900-0876.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0876 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2900-0875-AA1 Enterprise Contact Center Council Community Care (ECCC CC) Survey	Form and Instruction
2900-0875-AA1 ECCC Community Care Survey ECCC_Survey and Emails_CC_V5.pdf	Form and Instruction
A-11 Fast-Track Clearance Request Template_ECCC OCC.pdf A-11 Generic Clearence Requirements	IC Document
ECCC Comm Care Sample Plan.pdf Sample Plan	IC Document

IC Title:

Enterprise Contact Center Council Community Care (ECCC CC) Survey

Agency IC Tracking Number:

2900-0876-AA

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 and Instruction	2900-0875-AA1	ECCC Community Care Survey	ECCC_Survey and Emails_CC_V5.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 49,152

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	49,152	49,152
Annual IC Time Burden (Hours)	3,277	3,277
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
A-11 Generic Clearence Requirements	A-11 Fast-Track Clearance Request Template_ECCC OCC.pdf	10/28/2020
Sample Plan	ECCC Comm Care Sample Plan.pdf	10/28/2020

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