Information Collection

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

IC 232653 under ICR 202111-0985-001 · OMB 0985-0060.

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

View Information Collection (IC)

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.