Information Collection

Communication Within DCRI Survey (CC)

IC 257056 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⚠️ Notice: This information collection may be referencing outdated material.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 Communication Within DCRI Survey (CC)	Form
1 DCRO Communication survey DCRI Comm Survey.docx	Form
Request for approval - Comm Survey rev2.docx fast track for DCRI Communication survey	IC Document
Comm Survey Email for 2022.docx email invite	IC Document

IC Title:

Communication Within DCRI Survey (CC)

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	DCRO Communication survey	DCRI Comm Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 130

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	130	130
Annual IC Time Burden (Hours)	22	22
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
fast track for DCRI Communication survey	Request for approval - Comm Survey rev2.docx	11/22/2022
email invite	Comm Survey Email for 2022.docx	11/22/2022

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