PSO Privacy Protection Center Help Desk Survey 0935-0106

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0935-0106 can be found here:

Documents and Forms

Document Name Document Type
Form Form #1 PSO Privacy Protection Center Help Desk Survey 0935-0106 Form
Form #1 PPC Help Desk Questionnaire Attachment B -- PPC Help Desk Questionnaire.doc Form
Supporting Statement Part A PSO Privacy Protection Center Help Desk Survey 11-19-08.doc Supporting Statement Part A PSO Privacy Protection Center Help Desk Survey 11-19-08 IC Document
Supporting Statement Part B -- PSO Privacy Protection Center Help Desk Survey 11-14-08 Final.doc Supporting Statement Part B -- PSO Privacy Protection Center Help Desk Survey 11-14-08 Final IC Document
Terms of Clearance- PSO PPC generic IC.doc Terms of Clearance- PSO PPC generic IC IC Document

Information Collection (IC) Details

IC Title:	PSO Privacy Protection Center Help Desk Survey 0935-0106	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	Form #1	PPC Help Desk Questionnaire	Attachment B -- PPC Help Desk Questionnaire.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	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	200	0	0	0	0	0
Annual IC Time Burden (Hours)	17	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement Part A PSO Privacy Protection Center Help Desk Survey 11-19-08	Supporting Statement Part A PSO Privacy Protection Center Help Desk Survey 11-19-08.doc	11/20/2008
Supporting Statement Part B -- PSO Privacy Protection Center Help Desk Survey 11-14-08 Final	Supporting Statement Part B -- PSO Privacy Protection Center Help Desk Survey 11-14-08 Final.doc	11/20/2008
Terms of Clearance- PSO PPC generic IC	Terms of Clearance- PSO PPC generic IC.doc	12/12/2008

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