Indian Health Service (IHS) FY_ eLearning Post Class Survey

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery: IHS Customer Service Satisfaction and Similar Surveys

OMB: 0917-0036

IC ID: 216415

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Indian Health Service (IHS) FY_ eLearning Post Class Survey 6
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0917-0036 Indian Health Service (IHS) FY_ eLearning Post Class Survey FY_ eLearning Post Class Survey.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

2,500 0
   
Individuals or Households
 
   100 %

  Requested 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 2,500 0 0 0 0 2,500
Annual IC Time Burden (Hours) 208 0 0 0 0 208
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
OMB No. 0917-0036, Mini-Supporting Statement forIndian Health Service (IHS) FY_ eLearning Post Class Survey Final OMB Form No. 0917-0036-06, Mini-Supporting Statement for FY_ eLearning Post Class Survey 2015.doc 05/11/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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