View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Fast track template OLAW Conversations March 2022-March 2023 Customer Feedback Poll (OD)	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	1	OLAW Conversations March 2022	Instrument OLAW Conversations March 2022-March 2023.docx		Yes	Yes	Fillable Fileable

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: 500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	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	500	0	500	0	0	0
Annual IC Time Burden (Hours)	42	0	42	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
fast track for OLAW Converstions March 2022-2023	Fast track template OLAW Conversations Customer Feedback Poll 3_22-3_23.docx	03/15/2022
invite	Invitation 3_22-3_23 (1).pdf	03/15/2022

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