View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	NIMH Information Resource Center (IRC) Customer Satisfaction Surveys for Email Information Services, Online Publications Ordering Services and Telephone Services	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Email services survey	NIMH IRC.Email Service Survey.Sept2015.AppA.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	2	Online publications ordering services survey	NIMH IRC.Online Publications Ordering Survey.Sept2015.AppB.pdf		Yes	Yes	Fillable Fileable
Form and Instruction	3	Telephone services survey	NIMH IRC Telephone Service Customer Satisfaction Survey.Sept2015.AppC.pdf		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,020	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	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	2,020	0	2,020	0	0	0
Annual IC Time Burden (Hours)	100	0	100	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Submission Form	Fast Track Template.NIMH IRC Customer Satisfaction Surveys.Oct2015.pdf	10/20/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.