ICARE Dialogues Customer feedback pre- and post- surveys (OD)

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

OMB: 0925-0648

IC ID: 242760

Information Collection (IC) Details

View Information Collection (IC)

ICARE Dialogues Customer feedback pre- and post- surveys (OD)
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 ICARE Pre Survey ICARE Dialogues Customer Pre Survey Supporting documents_7_17_20.pdf Yes Yes Fillable Fileable
Form and Instruction 2 ICARE Post Surveys ICARE Dialogues Customer Post Survey Supporting documents_7_17_20.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

150 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) 16 0 0 0 0 16
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Template ICARE Dialogues OMB Application Customer feedback Surveys 7_21_20.docx 07/23/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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