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

View Information Collection (IC)

Indian Health Service Purchased/Referred Care Patient Experience Survey
 
New
 
Voluntary
 
5 CFR CFR 1320.5(b).  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 1 No   Paper Only

Health Health Care Services

 

10,000 0
   
State, Local, and Tribal Governments
 
   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 10,000 0 10,000 0 0 0
Annual IC Time Burden (Hours) 3,000 0 3,000 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
ICR Template_A11 Section 280 Clearance_IHS PRCv1_Survey 12/27/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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