MOVE! Maintenance Pilot Program Survey

Clearance for A-11 Section 280 Improving Customer Experience Information Collection

OMB: 2900-0876

IC ID: 261942

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

MOVE! Maintenance Pilot Program Survey 2900-0876 Move Maintenance
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction MOVE! Maintenance Pilot Program Survey MOVE! Maintenance Pilot Program Survey MOVE! Maintenance Pilot Program_Survey Wireframe_08.23.2023.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

200 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 200 0 0 0 0 200
Annual IC Time Burden (Hours) 10 0 0 0 0 10
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
MOVE! Maintenance Pilot Program Survey ICR Template_A11 Section 280 Clearance MOVE! Maintenance.pdf 08/30/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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