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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Customer Satisfaction Survey
Removed
0
0
0
Form and Instruction
6
Appendix 9 Customer Satisfaction Survey Questions
E-mail Clients
Modified
1002
167
0
Form
8
Email Intake Form on Cancer.gov
LiveHelp Clients
Modified
6236
208
0
Form
7
Live Help Questions
Smoking Cessation Clients Demographic & Customer Satisfaction Questions
Modified
676
23
0
Form
4
Smoking Cessation Clients Demographic & Customer Satisfaction Survey Questions
Smoking Cessation Clients Smoking Cessation "Intake" Questions
Modified
3380
338
0
Form and Instruction
3
SCIF with screen shots
Telephone Clients Customer Service
Modified
31562
526
0
Form and Instruction
1
Customer Service and Demographic Questions
Telephone Clients Demographic & Customer Satisfaction Questions
Modified
13100
437
0
Form and Instruction
2
Customer Service and Demographic Questions
VA Follow Up Calls
New
936
62
0
Form
5
VA Follow Up Calls
VA Smoking Cessation Clients Call Backs
Modified
1560
104
0
Form
6
VA Smoking Cessation Call Backs
Total burden requested under this ICR:
58452
1865
0
To view an IC, click on IC Title