OMB control number
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB 0955-0003 · HHS/ONC.
OMB 0955-0003
This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.
The latest form for Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery expires 2021-06-30 and is listed under ICR 201504-0955-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 60-DAY FRN 0955-0003.pdf | Supplementary Document |
 Generic_Clearance_Submission_Template.doc | Supplementary Document |
 Supporting statement B 2021.docx | Supporting Statement B |
| 0955-0003 Supporting statement A2.docx | Supporting Statement A |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202105-0955-001 | Revision of a currently approved collection | 2021-06-28 | Approved without change | |
| 202101-0955-001 | No material or nonsubstantive change to a currently approved collection | 2021-03-03 | Approved without change | |
| 201504-0955-001 | Revision of a currently approved collection | 2017-12-20 | Approved without change | |
| 201408-0955-001 | Extension without change of a currently approved collection | 2014-10-29 | Approved without change | |
| 201208-0955-003 | New collection (Request for a new OMB Control Number) | 2012-08-27 | Approved without change |
OMB Details
ONC Interoperability Overall Forum Evaluation
Federal Enterprise Architecture: Health - Health Care Services
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form 0955-003 | ONC Interoperability Forum Overall Evaluation | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.