National Center on Law and Elder Rights-Resource Support Requests and User Satisfaction

National Center on Law and Elder Rights-Resource Support and User Satisfaction

Documents and Forms

Document Name Document Type
National Center on Law and Elder Rights-Resource Support Requests and User Satisfaction Form and Instruction
Uniform Resource Support Request Tool 0060 URSRT-Final.pdf Form and Instruction
Uniform Resource Support Request Tool 0060 URSRT-Final.pdf Form and Instruction
User Satisfaction Survey 0060 User Satisfaction Form.pdf Form and Instruction
User Satisfaction Survey 0060 User Satisfaction Form.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	National Center on Law and Elder Rights-Resource Support Requests and User Satisfaction	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Uniform Resource Support Request Tool	0060 URSRT-Final.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	NA	User Satisfaction Survey	0060 User Satisfaction Form.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 14,080	Number of Respondents for Small Entity: 175

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	14,080	14,080
Annual IC Time Burden (Hours)	400	400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.