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SCORE Survey
SCORE Culture and Engagement Survey
OMB:
IC ID: 272106
OMB.report
DODOASHA
ICR 202411-0720-001
IC 272106
( )
Documents and Forms
Document Name
Document Type
NCR SCORE Survey Instrument.pdf
Other-Survey
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
SCORE Survey
Agency IC Tracking Number:
0720-SCOR
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Survey
NCR SCORE Survey Instrument.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
SCORE Survey
FR Citation:
89 FR 43836
Number of Respondents:
6,873
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
6,873
0
6,873
0
0
0
Annual IC Time Burden (Hours)
1,718
0
1,718
0
0
0
Annual IC Cost Burden (Dollars)
84,315
0
84,315
0
0
0
Documents for IC
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.
