Patient Flow Time Study

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery: IHS Customer Service Satisfaction and Similar Surveys

OMB: 0917-0036

IC ID: 216510

Information Collection (IC) Details

View Information Collection (IC)

Patient Flow Time Study 33
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0917-0036 Patient Flow Time Study OMB No. 0917-0036-33, Time Study_Patient Flow_.docx No   Fillable Printable

Health Health Care Services

 

540 0
   
Individuals or Households
 
   0 %

  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 540 0 0 0 0 540
Annual IC Time Burden (Hours) 45 0 0 0 0 45
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB No. 0917-0036, Mini-Supporting Statement fo Patient Flow Time Study OMB No. 0917-0036-33, Mini-Supporting Statement for Patient Flow.doc 05/08/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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