Digital Front Door Virtual Health for Beneficiaries

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Documents and Forms

Document Name Document Type
Digital Front Door Screenshot.docx Other-Survey
Fast Track Generic 0704-0553_Digital Front Door_10.10.2023.docx One Pager IC Document

Information Collection (IC) Details

IC Title:	Digital Front Door Virtual Health for Beneficiaries	Agency IC Tracking Number:

IC Status: Unchanged

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			Digital Front Door Screenshot.docx		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	928	928

Documents for IC

Title	Document	Date Uploaded
One Pager	Fast Track Generic 0704-0553_Digital Front Door_10.10.2023.docx	10/12/2023

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