Information Collection

Fast track template OLAW Conversations March 2022-March 2023 Customer Feedback Poll (OD)

IC 252193 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⚠️ Notice: This information collection may be referencing outdated material.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 Fast track template OLAW Conversations March 2022-March 2023 Customer Feedback Poll (OD)	Form
1 OLAW Conversations March 2022 Instrument OLAW Conversations March 2022-March 2023.docx	Form
Fast track template OLAW Conversations Customer Feedback Poll 3_22-3_23.docx fast track for OLAW Converstions March 2022-2023	IC Document
Invitation 3_22-3_23 (1).pdf invite	IC Document

IC Title:

Fast track template OLAW Conversations March 2022-March 2023 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	OLAW Conversations March 2022	Instrument OLAW Conversations March 2022-March 2023.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: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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 Converstions March 2022-2023	Fast track template OLAW Conversations Customer Feedback Poll 3_22-3_23.docx	03/15/2022
invite	Invitation 3_22-3_23 (1).pdf	03/15/2022

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