Information Collection

Statewide AT Customer Satisfaction Survey

IC 46671 under ICR 200611-1820-002 · OMB 1820-0572.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Statewide AT Customer Satisfaction Survey 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

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a				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 %

table that charts list of burden
	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

table that charts IC Documents
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.

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