User feedback for the Benefit Cliff Calculator

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

OMB: 0990-0379

IC ID: 244370

Information Collection (IC) Details

View Information Collection (IC)

User feedback for the Benefit Cliff Calculator
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey 0990-0379 FT GENERIC MTRC Tool Survey 11-2-20 CLEAN.docx Yes Yes Fillable Printable

Health Public Health Monitoring

 

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) 23 0 23 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
memo 0990-0379 MEMO_FastTrack Generic Clearance Submission MTR calculator 11-3-20.docx 11/04/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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