IHS Web Services Customer Satisfaction Survey

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: 223611

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Form
Form
Form
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Information Collection (IC) Details

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IHS Web Services Customer Satisfaction Survey
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form IHS Web Services Customer Feedback IHS Web Services Customer Feedback IndianHealthService_WebServicesCustomerFeedback.docx Yes Yes Fillable Fileable

Health Health Care Services

 

600 0
   
Federal Government
 
   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 600 0 0 0 0 600
Annual IC Time Burden (Hours) 49 0 0 0 0 49
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
IHS Web Service Customer Satisfaction Survey 2014 Generic Clearance Submission Template - IHS Web Services Customer Satisfaction Survey Aug2016.doc 10/25/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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