Form #1 Form #1 PPC Help Desk Questionnaire

Voluntary Customer Surveys Generic Clearance for the Agency for Healthcare Research and Quality

Attachment B -- PPC Help Desk Questionnaire

PSO Privacy Protection Center Help Desk Survey 0935-0106

OMB: 0935-0106

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Form Approved
OMB No. 0935-0106
Exp. Date XX/XX/20XX




Proposed Privacy Protection Center (PPC)

Help Desk Survey

October 2008



Survey Questions:


  1. Do you feel your question was answered properly? (Yes or No)


  1. Do you feel the Help Desk Technician was courteous? (Yes or No)


  1. Were you satisfied with the service you received? (Yes or No)


  1. What comments or suggestions do you have regarding your experience with the PPC Help Desk?



















Public reporting burden for this collection of information is estimated to average 5 minute per response, the estimated time required to complete the survey. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Form Approved: OMB Number 0935-0106  Exp. Date xx/xx/20xx. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: AHRQ Reports Clearance Officer Attention: PRA, Paperwork Reduction Project (0935-XXXX) AHRQ, 540 Gaither Road, Room # 5036, Rockville, MD 20850.



File Typeapplication/msword
File TitleProposed Privacy Protection Center (PPC)
AuthorIfmc Employee
Last Modified Bywcarroll
File Modified2008-11-19
File Created2008-11-14

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