Enterprise Contact Center Council Community Care (ECCC CC) Survey

Clearance for A-11 Section 280 Improving Customer Experience Information Collection

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0876 can be found here:

Documents and Forms

Document Name Document Type
Form 2900-0875-AA1 Enterprise Contact Center Council Community Care (ECCC CC) Survey Form and Instruction
2900-0875-AA1 ECCC Community Care Survey ECCC_Survey and Emails_CC_V5.pdf Form and Instruction
A-11 Fast-Track Clearance Request Template_ECCC OCC.pdf A-11 Generic Clearence Requirements IC Document
ECCC Comm Care Sample Plan.pdf Sample Plan IC Document

Information Collection (IC) Details

IC Title:	Enterprise Contact Center Council Community Care (ECCC CC) Survey	Agency IC Tracking Number:	2900-0876-AA

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	2900-0875-AA1	ECCC Community Care Survey	ECCC_Survey and Emails_CC_V5.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 49,152	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	49,152	49,152
Annual IC Time Burden (Hours)	3,277	3,277
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
A-11 Generic Clearence Requirements	A-11 Fast-Track Clearance Request Template_ECCC OCC.pdf	10/28/2020
Sample Plan	ECCC Comm Care Sample Plan.pdf	10/28/2020

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