Information Collection

Customer Satisfaction Surveys: Fast Track Recall Survey, State Partner Survey, Hotline Survey, and Clearinghouse Survey

IC 42251 under ICR 200306-3041-002 · OMB 3041-0128.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3041-0128 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Customer Satisfaction Surveys: Fast Track Recall Survey, State Partner Survey, Hotline Survey, and Clearinghouse Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,001

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,001	500	501
Annual IC Time Burden (Hours)	71	42	29
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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