Information Collection

Generic Customer Satisfaction Surveys

IC 27702 under ICR 200608-2535-001 · OMB 2535-0116.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2535-0116 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form HUD-2994-A Generic Customer Satisfaction Surveys	Form
HUD-2994-A You are our client 2994_A.doc	Form
Survey Scripts - phone.doc Survey Scripts	IC Document
email survey.JPG Email Survey	IC Document

IC Title:

Generic Customer Satisfaction Surveys

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form	HUD-2994-A	You are our client	2994_A.doc		Yes	Yes	Fillable Fileable

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 117,248

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 54 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	117,248	18,000	99,248
Annual IC Time Burden (Hours)	13,229	450	12,779
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Survey Scripts	Survey Scripts - phone.doc	08/15/2006
Email Survey	email survey.JPG	08/15/2006

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