Information Collection

Nurse Advice Line Patient Experience Survey

IC 272233 under ICR 202505-0704-008 · OMB 0704-0553.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Nurse Advice Line Survey.docx	Other-Survey
Nurse Advice Line Survey.docx	Other-Survey
One Pager Justification.docx One Pager Justification	IC Document
One Pager Justification.docx One Pager Justification	IC Document

IC Title:

Agency IC Tracking Number:

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
Other-Survey					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: 4,860

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	4,860	4,860
Annual IC Time Burden (Hours)	405	405
Annual IC Cost Burden (Dollars)	12,749	12,749

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
One Pager Justification		11/07/2024

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

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