Statewide AT Customer Satisfaction Survey

Annual Progress Report & Data Collection Instrument form for Assistive Technology Grantees (SC)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1820-0572 can be found here:

Documents and Forms

Document Name Document Type
Statewide AT Customer Satisfaction Survey Form and Instruction
Statewide AT Customer Satisfaction Survey Att_State AT Customer Satisfaction Survey for Consumers.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Statewide AT Customer Satisfaction Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	Statewide AT Customer Satisfaction Survey	Att_State AT Customer Satisfaction Survey for Consumers.doc		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 95,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	95,200	95,200
Annual IC Time Burden (Hours)	3,967	3,967
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.