User satisfaction data collection for the IHS OIT NDW

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: 216545

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

User satisfaction data collection for the IHS OIT NDW 48
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0917-0036 Indian Health Service, Office of Information Technology, National Patient Reporting System National Data Warehouse Data Collection Survey Data Collection Survey Link and Screenshots.docx Yes Yes Fillable Fileable

Health Health Care Services

 

487 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 487 0 0 0 0 487
Annual IC Time Burden (Hours) 81 0 0 0 0 81
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB No. 0917-0036, Mini-Supporting Statement for IHS OIT National Patient Reporting System National Data Warehouse Data Collection Survey OMB Form 0917-0036 Mini-supporting Statement for User satisfaction data collection for IHS OIT NPIRS , 2-11-2015.doc 05/12/2015
NPIRS OA Data Collection Announcement NPIRS OA Data Collection Announcement.docx 05/12/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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