Information Collection Request

Ryan White HIV/AIDS Program CAREWare Customer Satisfaction and Usage Survey

ICR 202401-0906-004 · OMB 0906-0085 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 1 Customer Satisfaction Survey Questionnaire Form and Instruction New Available
Form 1 CAREWare User Survey Form and Instruction New Available
HRSA HAB CAREWare Customer Satisfaction Invitation and Reminder_2024.pdf Supplementary Document Uploaded 2024-01-18 Repair queued
Supporting Statement B Instructions Draft Final 01182024.docx Supporting Statement B Uploaded 2024-01-18 Available
CAREWare Supporting Statement A Draft Final Final 01182024.docx Supporting Statement A Uploaded 2024-01-18 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
264501 CAREWare User Survey Form and Instruction NewCustomer Satisfaction Survey Questionnaire
264501 CAREWare User Survey Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2027 36 Months From Approved
1,160 0 0
1,021 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
CAREWare User Survey 1

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,160 0 0 1,160 0 0
Annual Time Burden (Hours) 1,021 0 0 1,021 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No