Information Collection Request

Clearance for A-11 Section 280 Improving Customer Experience Information Collection

ICR 202107-2900-011 · OMB 2900-0876 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 2900-0876-ATLAS Su Telehealth ATLAS VSignals Survey Form and Instruction New Available
30-day FRN public version for 2900-0876.pdf Supplementary Document Uploaded 2021-07-30 Repair queued
Supporting Statement A for Agencies A_11 Section 280 Improving Customer Experience.docx Supporting Statement A Uploaded 2021-07-27 Missing upstream
A-11 60-Day FRN.docx Supplementary Document Uploaded 2020-03-13 Repair queued
A-11 Fast-Track Clearance Request Template.docx Supplementary Document Uploaded 2020-03-13 Repair queued
Supporting Statement B for Agencies_A 11 Section 280 Improving Customer Experience.docx Supporting Statement B Uploaded 2020-03-13 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
249220 Telehealth ATLAS VSignals Survey Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
03/31/2023 03/31/2023
3,500,000 2,500,000
1,750,000 625,000
0 0






table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,500,000 2,500,000 0 1,000,000 0 0
Annual Time Burden (Hours) 1,750,000 625,000 0 1,125,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No