Mount Sinai World Trade Center Health Program Clinical Center of Excellence Annual Satisfaction Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

OMB: 0920-0953

IC ID: 237578

Information Collection (IC) Details

View Information Collection (IC)

Mount Sinai World Trade Center Health Program Clinical Center of Excellence Annual Satisfaction Survey 0920-0953-19BOW
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0953 WTC Mt. Sinai Medical Center Annual Survey 2019_MSSM_survey.pdf NA No   Paper Only

Health Health Care Services

 

23,857 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 23,857 0 23,857 0 0 0
Annual IC Time Burden (Hours) 5,964 0 5,964 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
GenIC Request Mount Sinai WTCHP CCE Annual Satisfaction Survey.docx 08/28/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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