Information Collection

OIG HHS Website feedback

IC 266438 under ICR 202409-0990-001 · OMB 0990-0379.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0990-0379 OIG HHS Website feedback	Form and Instruction
Form 0990-0379 HHS OIG Website Survey Questions OIG HHS Website feedback	Form and Instruction
0990-0379 HHS OIG Website Survey Questions OIG HHS FastTrack Website Survey Questions Response_Apr 17 2024.docx	Form and Instruction
0990-0379 HHS OIG Website Survey Questions OIG HHS FastTrack Website Survey Questions Response_Apr 17 2024.docx	Form and Instruction
HHS OIG MEMO_FastTrack Generic Clearance - March 2024_FINAL 4-1-24.docx HHS OIG Memo (SS-A)	IC Document
HHS OIG MEMO_FastTrack Generic Clearance - March 2024_FINAL 4-1-24.docx HHS OIG Memo (SS-A)	IC Document

IC Title:

Agency IC Tracking Number:

0990-0379

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 and Instruction	0990-0379			TBD	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 120,000

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	120,000	120,000
Annual IC Time Burden (Hours)	6,000	6,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
HHS OIG Memo (SS-A)		04/17/2024

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

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