Whiteriver Service Unit (WRSU) Birthing Center Patient Satisfaction Survey

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery: IHS Customer Service Satisfaction and Similar Surveys

OMB: 0917-0036

IC ID: 250081

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
Information Collection (IC) Details

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Whiteriver Service Unit (WRSU) Birthing Center Patient Satisfaction Survey
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0917-0036 Whiteriver Service Unit (WRSU) Birthing Center Patient Satisfaction Survey Survey Questions_IHS-WRSU Birthing Center Patient Satisfaction Survey.docx No   Paper Only

Health Health Care Services

 

50 0
   
Individuals or Households
 
   0 %

  Requested 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 50 0 0 0 0 50
Annual IC Time Burden (Hours) 4 0 0 0 0 4
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Whiteriver Service Unit (WRSU) Birthing Center Patient Satisfaction Survey IHS-WRSU Birthing Center Patient Satisfaction Survey.docx 11/03/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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