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Federal forms, ICRs, and supporting documents

Information Collection

Customer Satisfaction (User Feedback) of a Mobile Application to Improve Preparation and Response to a Terrorist Event or Other Mass Casualty Event

IC 211297 under ICR 201405-0920-002 · OMB 0920-1009.

Documents and Forms
Document Name
Document Type
Other-WORD
Other-WORD
Other-WORD
Information Collection (IC) Details

View Information Collection (IC)

Customer Satisfaction (User Feedback) of a Mobile Application to Improve Preparation and Response to a Terrorist Event or Other Mass Casualty Event 0920-14UO
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD Online Survey.docx Yes Yes Fillable Printable
Other-WORD Online Survey - Screenshots.docx Yes Yes Fillable Printable
Other-WORD NCIPC Blast Injury Customer Sat Survey Generic Submission Template.docx No   Paper Only

Health Public Health Monitoring

 

1,500 0
   
Individuals or Households
 
   100 %

  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 1,500 0 0 0 0 1,500
Annual IC Time Burden (Hours) 300 0 0 0 0 300
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.