View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	[NIOSH] NIOSH Approved Radiograph Facility Quality Assurance Program Customer Satisfaction Survey	Agency IC Tracking Number:	0920-0953-24FO

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	n/a	Survey Questions	Attachment 2_Survey Questions_NIOSH approved radiograph faciliteis QA_final.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: 153	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

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	153	0	153	0	0	0
Annual IC Time Burden (Hours)	8	0	8	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Request Template	Fast_Track_GenIC_RequestTemplate CWHSP_McClelland.docx	05/06/2024

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