North Shore LIJ Customer Satisfaction Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIOSH 2)

OMB: 0920-0953

IC ID: 209700

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

North Shore LIJ Customer Satisfaction Survey
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None Medical Practice Survey Patient Satisfaction Survey-Queens.pdf Yes No Paper Only

Health Health Care Services

 

2,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,000 0 0 0 0 0
Annual IC Time Burden (Hours) 240 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
North Shore request North Shore request.docx 12/11/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy