View Information Collection (IC)

View Information Collection (IC)

Public Engagement Platform Surveys 1
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction Bulling Prevention Survey Bulling Prevention Survey Attachment 1_Bullying Prevention.docx Yes Yes Fillable Printable
Form and Instruction Suicide Prevention Survey Suicide Prevention Survey Attachment 2_Suicide Prevention.docx Yes Yes Fillable Printable
Form and Instruction Contact Center Survey Contact Center Survey Attachment 3_contact center.docx Yes Yes Fillable Printable

Health Public Health Monitoring

 

888 0
   
State, Local, and Tribal Governments
 
   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 888 0 888 0 0 0
Annual IC Time Burden (Hours) 57 0 57 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Justification Customer Feedback Surveys OMB Request 6-27-14.doc 06/30/2014
Transmittal Letter Trans.Let-1-2014.doc 06/30/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.