Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Classroom Post Class Survey New 1000 83 0 Form and Instruction 0917-0036-05
Employee Assessment, Clinton Service Unit, IMPRESS New 500 42 0 Form and Instruction 0917-0036-10
IHS Community Health Representative Basic Training & Refresher Training New 180 15 0 Form and Instruction 0917-0036-15
IHS Website Customer Service Satisfaction Survey - EHR Survey New 500 83 0 Form and Instruction 0917-0036-03
Indian Health Service Website Customer Service Satisfaction Survey New 500 125 0 Form and Instruction 0917-0036-01
OIT Customer Satisfaction Survey - Problem Ticket New 500 42 0 Form and Instruction 0917-0036-14
OIT Customer Satisfaction Survey - Service Ticket New 500 42 0 Form and Instruction 0917-0036-13
Patient Assessment, Clinton Service Unit, IMPRESS New 500 42 0 Form and Instruction 0917-0036-11
Physician/Dentist Customer Service Questionairre New 500 42 0 Form and Instruction 0917-0036-12
Satellite Classroom Post Class Survey New 500 42 0 Form and Instruction 0917-0036-07
Website Customer Service Satisfaction Survey New 500 125 0 Form and Instruction 0917-0036-002
Website Customer Service Satisfaction Survey - EHR New 500 83 0 Form 0917-0036-04
eLearning Post Class Survey New 2500 208 0 Form and Instruction 0917-0036-06
iCare - CMET Post Course Survey New 75 6 0 Form and Instruction 0917-0036-08
iCare Nuts and Bolts Post Class Survey New 225 19 0 Form and Instruction 0917-0036-09
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 8980 999 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title