Information Collection

OLAW Conversations 2022 Customer Feedback Poll (OD)

IC 250854 under ICR 202307-0925-002 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 OLAW Conversations 2022 Customer Feedback Poll (OD)	Form
1 customer feedback poll questions Customer feedback poll questions OLAW Conversations 2022.docx	Form
Fast track template OLAW Conversations 2022 Customer Feedback Poll.docx fast track for OLAW 2022 Conversations Customer Feedback	IC Document
Invitation.docx invitation	IC Document

IC Title:

OLAW Conversations 2022 Customer Feedback Poll (OD)

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1	customer feedback poll questions	Customer feedback poll questions OLAW Conversations 2022.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
fast track for OLAW 2022 Conversations Customer Feedback	Fast track template OLAW Conversations 2022 Customer Feedback Poll.docx	12/20/2021
invitation	Invitation.docx	12/20/2021

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.