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[NCIRD] IP25-0007 CoAg S3.4 Customer Satisfaction Evaluation

IC 279045 under ICR 202506-0920-002 · OMB 0920-1050.

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Form and Instruction
Form and Instruction
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[NCIRD] IP25-0007 CoAg S3.4 Customer Satisfaction Evaluation 0920-26-0027
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Customer Satisfaction Surveys to Assess the Quality of S3.4 Technical Assistance Customer Satisfaction Surveys to Assess the Quality of S3.4_final.docx Yes Yes Fillable Fileable

Health Immunization Management

 

33 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved 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 33 0 33 0 0 0
Annual IC Time Burden (Hours) 3 0 3 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Customer Service GenIC Clearance Template Customer Service GenIC Clearance Template_final_S3.4TA_final.docx 02/10/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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