Customer Satisfaction Survey for CBIIT Town Hall and NCI Orientation. (NCI)

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCI)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0642 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Customer Satisfaction Survey for CBIIT Town Hall and NCI Orientation. (NCI) Form
1 CBIIT Town Hall and NCI Orientation survey CBIIT Town Hall and NCI Orientation Survey.docx Form
Fast Track Request CBIIT Town Hall and NCI Orientation.docx fast track CBIIT Town Hall and NCI Orientation survey IC Document

Information Collection (IC) Details

IC Title:	Customer Satisfaction Survey for CBIIT Town Hall and NCI Orientation. (NCI)	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	CBIIT Town Hall and NCI Orientation survey	CBIIT Town Hall and NCI Orientation Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
fast track CBIIT Town Hall and NCI Orientation survey	Fast Track Request CBIIT Town Hall and NCI Orientation.docx	09/10/2020

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