Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Catawba Service Unit Patient Satisfaction Survey New 360 30 0 Form and Instruction 0917-0036
Community Health Representatives (CHR) National Education Training (NET) New 325 43 0 Form and Instruction 0917-0036-17
Community Health Representatives (CHR) Online Diabetes Training Evaluation New 110 9 0 Form and Instruction OMB No. 0917-0036-16
Dental Patient Satisfaction Survey New 420 21 0 Form and Instruction 0917-0036-34
EHR Pharmacy Residence Informaticists Survey New 34 3 0 Form and Instruction OMB 0917-0036-0031
Gallup Service Unit Patient Satisfaction Survey New 2800 233 0 Form and Instruction 0917-0036-38
IHS Clinical Rounds Qualitative Feedback New 500 83 0 Form and Instruction 0917-0036-18
IHS OEHE Customer Satisfaction Survey New 1800 90 0 Form and Instruction 0917-0036-20
Form and Instruction 0917-0036-20
Form and Instruction 0917-0036-20
Form and Instruction 0917-0036-20
IHS Pharmacy Automation Survey 2013 New 200 33 0 Form and Instruction OMB No. 0917-0036-19
IHS Website ICD-10 Stakeholder Readiness Survey - ICD-10 Project Needs Assessment New 500 83 0 Form and Instruction 0917-0036-27
Indian Health Service (IHS) Patient Experience Survey New 480 40 0 Form and Instruction OMB No. 0917-0036-24
OMB No. 0917-0036 Indian Health Service (IHS) Wind River Service Unit (WRSU) Customer Satisfaction Survey New 1800 150 0 Form and Instruction 0917-0036
Form and Instruction 0917-0036
Form and Instruction 0917-0036
OMB No. 0917-0036 – Clinical Decision Support Usability Assessment New 400 33 0 Form and Instruction OMB No. 0917-0036
OMB No. 0917-0036, Indian Health Service (IHS) RPMS Stakeholder Survey – Resource and Patient Management System Program Operational Analysis Needs Assessment New 500 83 0 Form and Instruction 0917-0036
OMB No. 0917-0036, Sugar Shockers Health Campaign Survey, Catawba Service Unit New 200 17 0 Form and Instruction 0917-0036
OMB No. 0917-0036, We Care Survey, Blackfeet Community Hospital New 1200 100 0 Form and Instruction OMB No. 0917-0036
Patient Flow Time Study New 540 45 0 Form and Instruction 0917-0036-33
Patient Satisfaction Survey, Alburquerque Service Unit New 600 20 0 Form and Instruction 0917-0036-36
Patient Satisfaction Survey, Crow Service Unit New 720 60 0 Form and Instruction 0917-0036
Patient Satisfaction Survey, Tohatchi New 360 30 0 Form and Instruction 0917-0036
Patient Satisfaction Survey, at CRHC New 540 45 0 Form and Instruction 0917-0036-32
Portland Area Division of Environmental Health Services: Customer Service Assessment New 60 15 0 Form and Instruction 0917-0036-21
Providers - e-RX Deployment New 300 25 0 Form and Instruction OMB No. 0917-0036-35
RPMS Annual Training Needs Assessment New 550 92 0 Form and Instruction 0917-0036-23
RPMS Computer Based Post Class Survey New 2500 208 0 Form and Instruction 0917-0036-28
RPMS eLearning Hands-on Customer Satisfaction Survey New 2500 208 0 Form and Instruction OMB No. 0917-0036-30
THC Dental Patient Satisfaction Survey New 360 30 0 Form and Instruction 0917-0036
User satisfaction data collection for the IHS OIT NDW New 487 81 0 Form and Instruction 0917-0036
VPN User Survey New 220 18 0 Form and Instruction OMB No. 0917-0036-22
We Care Survey, Fort Peck SU IHS New 1800 90 0 Form and Instruction OMB 0917-0036
We Care Survey, Northern Cheyenne New 720 60 0 Form and Instruction 0917-0036
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 23886 2078 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title