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

OMB 0955-0003

This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

The latest form for Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery expires 2021-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
60-DAY FRN 0955-0003.pdf Supplementary Document
Generic_Clearance_Submission_Template.doc Supplementary Document
Supporting statement B 2021.docx Supporting Statement B
0955-0003 Supporting statement A2.docx Supporting Statement A

All Historical Document Collections

202105-0955-001 Approved without change	Revision of a currently approved collection	2021-06-28
202101-0955-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-03-03
201504-0955-001 Approved without change	Revision of a currently approved collection	2017-12-20
201408-0955-001 Approved without change	Extension without change of a currently approved collection	2014-10-29
201208-0955-003 Approved without change	New collection (Request for a new OMB Control Number)	2012-08-27

OMB Details

ONC Interoperability Overall Forum Evaluation

Federal Enterprise Architecture: Health - Health Care Services

Form 0955-003

ONC Interoperability Forum Overall Evaluation

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.