Peer Review

Generic Clearance for Satisfaction Surveys of Customers (CSR)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0474 can be found here:

Documents and Forms

Document Name Document Type
Form 2 Peer Review Form and Instruction
2 survey 20090821 Attachment 2 - Reviewer Survey Instrument 8-25.doc Form and Instruction
1 survey 20090821 Attachment 1 - Applicant Survey Instrument 8-25.doc Form and Instruction
0925-0474 generic_clearance_form 8-25.doc 0925-0474 generic_clearance_form 8-25 IC Document
20090821 OMB Mini Supporting Statements A B 8-25.doc 20090821 OMB Mini Supporting Statements A B 8-25 IC Document

Information Collection (IC) Details

IC Title:	Peer Review	Agency IC Tracking Number:

IC Status: Unchanged

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	2	survey	20090821 Attachment 2 - Reviewer Survey Instrument 8-25.doc		Yes	Yes	Paper Only
Form and Instruction	1	survey	20090821 Attachment 1 - Applicant Survey Instrument 8-25.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,769	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	3,769	3,769
Annual IC Time Burden (Hours)	942	942
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
0925-0474 generic_clearance_form 8-25	0925-0474 generic_clearance_form 8-25.doc	08/25/2009
20090821 OMB Mini Supporting Statements A B 8-25	20090821 OMB Mini Supporting Statements A B 8-25.doc	08/25/2009

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