HSICC Post Phone Call Survey

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

OMB: 0970-0401

IC ID: 232746

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

HSICC Post Phone Call Survey
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Post Phone Calll Survey Post Phone Call Survey.docx Yes Yes Fillable Printable

Community and Social Services Social Services

 

300 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 300 0 0 0 0 300
Annual IC Time Burden (Hours) 15 0 0 0 0 15
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Justification fast-track-PRA-submission-short-form-hsicc (1).doc 08/20/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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