379 IRS LB & I Q's, 380 VHAInpatient_Survey_10_Final, 381 VHAOutpatient_Survey_10_Final

American Customer Satisfaction Index "Customer Satisfaction Surveys"

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0007 can be found here:

Documents and Forms

Document Name Document Type
Form 379 IRS LB & I Que 379 IRS LB & I Q's, 380 VHAInpatient_Survey_10_Final, 381 VHAOutpatient_Survey_10_Final Form
379 IRS LB & I Que 379 IRS LB & I Questionnaire 2010 379 IRS LB & I Questionnaire.docx Form
380 VHAInpatient_S 380 VHAInpatient_Survey_10_Final 2010 380 VHAInpatient_Survey_10_Final.doc Form
381 VHAOutpatient_ 381 VHAOutpatient_Survey_10_Final 2010 381 VHAOutpatient_Survey_10_Final.doc Form

Information Collection (IC) Details

IC Title:	379 IRS LB & I Q's, 380 VHAInpatient_Survey_10_Final, 381 VHAOutpatient_Survey_10_Final	Agency IC Tracking Number:	379-381

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form	379 IRS LB & I Questionnaire	379 IRS LB & I Questionnaire	2010 379 IRS LB & I Questionnaire.docx	No	Paper Only
Form	380 VHAInpatient_Survey_10_Final	380 VHAInpatient_Survey_10_Final	2010 380 VHAInpatient_Survey_10_Final.doc	No	Paper Only
Form	381 VHAOutpatient_Survey_10_Final	381 VHAOutpatient_Survey_10_Final	2010 381 VHAOutpatient_Survey_10_Final.doc	No	Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 750	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	750	750
Annual IC Time Burden (Hours)	125	125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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