IHS Chinle Service Unit Customer Experience 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: 236418

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

View Information Collection (IC)

IHS Chinle Service Unit Customer Experience Survey 58
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0917-0036 Community Nutrition Updated Community Nutrition Gardening Survey 2019.docx No   Paper Only
Form and Instruction 0917-0036 Gardening Survey CN updated Gardening Survey protocol 5.29.19.docx No   Paper Only

Health Health Care Services

 

1,800 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 1,800 0 0 0 0 1,800
Annual IC Time Burden (Hours) 90 0 0 0 0 90
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
IHS Chinle Service Unit Customer Experience Survey. Public Health Clearance Submission for Clinical and Community Nutrition 5.29.19.docx 06/10/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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