2014 673 HRSA BPHC Health Care Program Survey - 2014 674 EOSDIS Questionnaire

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⚠️ Notice: This information collection may be referencing outdated material.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 673 2014 673 HRSA BPHC Health Care Program Survey - 2014 674 EOSDIS Questionnaire Form and Instruction
673 2014 673 HRSA BPHC Health Center Program Survey 2014 673 HRSA BPHC Health Center Program Survey Final.docx Form and Instruction
674 2014 674 EOSDIS Questionnaire 2014 674 EOSDIS Questionnaire.docx Form and Instruction

Information Collection (IC) Details

IC Title:	2014 673 HRSA BPHC Health Care Program Survey - 2014 674 EOSDIS Questionnaire	Agency IC Tracking Number:	673 - 674

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	673	2014 673 HRSA BPHC Health Center Program Survey	2014 673 HRSA BPHC Health Center Program Survey Final.docx		Yes	Yes	Fillable Fileable
Form and Instruction	674	2014 674 EOSDIS Questionnaire	2014 674 EOSDIS Questionnaire.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,000	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	4,000	4,000
Annual IC Time Burden (Hours)	1,200	1,200
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.