View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

IOM Study, NCL Patient Satisfaction Survey, Battlecreek Urgent Care Survey, Tobacco & Nicotine Use Survey, VISN 1 Patient Satisfaction Survey 2900-0770
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 10-10128 No   Fillable Printable
Form and Instruction 10-10130 No   Fillable Printable
Form and Instruction 10-10131 No   Fillable Printable
Form and Instruction 10-10133 No   Fillable Printable
Form and Instruction 10-10135 No   Fillable Printable
Form and Instruction 10-10136 No   Fillable Printable

Health Health Care Services

 

2,990 0
   
Individuals or Households
 
   0 %

  Approved 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 2,990 0 2,990 0 0 0
Annual IC Time Burden (Hours) 897 0 897 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
IOM Generic Clearance Request 11/06/2014
Patient Satisfaction Questionaire Generic Clearance 11/06/2014
Smoking and Nicotine Use Generic Clearance 11/06/2014
Battle Creek Urgent Care Generic Clearance 11/06/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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