Consumer Compliant Monitoring System

Consumer Complaint Monitoring System

OMB: 0583-0133

IC ID: 2857

Documents and Forms
Document Name
Document Type
Other-web form
Other-web form - Spanish
Information Collection (IC) Details

View Information Collection (IC)

Consumer Compliant Monitoring System
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-web form eCCF screenshots document- English.docx Yes Yes Fillable Fileable
Other-web form - Spanish eCCF screenshots document - Spanish v2.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

3,000 0
   
Individuals or Households
 
   100 %

  Requested 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 3,000 0 0 0 0 3,000
Annual IC Time Burden (Hours) 750 0 0 0 0 750
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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