388 Dept of Labor EBSA Q's FINAL 389 Tricare survey Outpatient 390 Tricare survey Inpatient

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⚠️ Notice: This information collection may be referencing outdated material.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 388 Dept of Labor 388 Dept of Labor EBSA Q's FINAL 389 Tricare survey Outpatient 390 Tricare survey Inpatient Form
388 Dept of Labor 388 Dept of Labor EBSA Questionnaire FINAL 2010 388 Dept of Labor EBSA Questionnaire FINAL.docx Form
389 Tricare survey 389 Tricare survey Outpatient 2010 389 Tricare survey Outpatient.doc Form
390 Tricare survey 390 Tricare survey Inpatient 2010 390 Tricare survey Inpatient.doc Form

Information Collection (IC) Details

IC Title:	388 Dept of Labor EBSA Q's FINAL 389 Tricare survey Outpatient 390 Tricare survey Inpatient	Agency IC Tracking Number:	388-390

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	388 Dept of Labor EBSA Questionnaire FINAL	388 Dept of Labor EBSA Questionnaire FINAL	2010 388 Dept of Labor EBSA Questionnaire FINAL.docx	No	Paper Only
Form	389 Tricare survey Outpatient	389 Tricare survey Outpatient	2010 389 Tricare survey Outpatient.doc	No	Paper Only
Form	390 Tricare survey Inpatient	390 Tricare survey Inpatient	2010 390 Tricare survey Inpatient.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.