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Department of Laboratory Medicine Operational Review: 2020 Stakeholder Perception Survey of Services (CC)

IC 240091 under ICR 202102-0925-005 · OMB 0925-0648.

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Department of Laboratory Medicine Operational Review: 2020 Stakeholder Perception Survey of Services (CC)
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 DLM Stakeholder Perception Survey DLM Stakeholder Perception Survey_ OMB Request_FINAL.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

3,500 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 3,500 0 0 0 0 3,500
Annual IC Time Burden (Hours) 117 0 0 0 0 117
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Fast track DLM Request for OMB Approval- DLM Fast Track 2020.docx 02/24/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.