Clinical Support Tools Feedback Survey

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

OMB: 0704-0553

IC ID: 253194

Information Collection (IC) Details

View Information Collection (IC)

Clinical Support Tools Feedback Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey 0704-0553_Clinical Support Tools Survey_11.02.21. V2.pdf Yes Yes Fillable Fileable

Defense and National Security Operational Defense

 

10 0
   
Individuals or Households
 
   100 %

  Approved 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 10 0 10 0 0 0
Annual IC Time Burden (Hours) 3 0 3 0 0 0
Annual IC Cost Burden (Dollars) 123 0 123 0 0 0

Title Document Date Uploaded
One-Pager Clinical Support Tools Feedback Survey One Pager_Clinical Support Tools Feedback Survey_4.18.22.docx 05/03/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy