DGMO Customer Service Satisfaction Survey

Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration

OMB: 0915-0212

IC ID: 248753

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DGMO Customer Service Satisfaction Survey
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 DGMO Customer Service Survey Questions.docx DGMO Customer Service Survey Questions.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

768 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 768 0 0 0 0 768
Annual IC Time Burden (Hours) 92 0 0 0 0 92
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SS A - DGMO Customer Service Satisfaction Survey SS A - DGMO Customer Service Satisfaction Survey.docx 08/05/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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