485 HRSA HAB Grantees

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⚠️ Notice: This information collection may be referencing outdated material.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 485 HRSA HAB 485 HRSA HAB Grantees Form and Instruction
485 HRSA HAB 485 HRSA HAB Grantees 2012 485 HRSA HAB Grantee Questionnaire - 2012 Final.docx Form and Instruction
486 FEMA 486 FEMA Printed BSB Pubs 2012 486 FEMA - BSB Printed Pubs Sat_Survey Final.doc Form and Instruction

Information Collection (IC) Details

IC Title:	485 HRSA HAB Grantees	Agency IC Tracking Number:	485 - 486

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	485 HRSA HAB	485 HRSA HAB Grantees	2012 485 HRSA HAB Grantee Questionnaire - 2012 Final.docx		Yes	Yes	Fillable Fileable
Form and Instruction	486 FEMA	486 FEMA Printed BSB Pubs	2012 486 FEMA - BSB Printed Pubs Sat_Survey 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: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	750	750
Annual IC Time Burden (Hours)	188	188
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.