Information Collection

Customer Stakeholder Survey

IC 180760 under ICR 200706-1625-007 · OMB 1625-0080.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1625-0080 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1625-0080 Customer Stakeholder Survey.doc	Other-Survey
1625-0080_83C Stakeholder Survey.pdf OMB 83-C Customer Stakeholder Survey	IC Document

IC Title:

Customer Stakeholder Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Other-Survey			1625-0080 Customer Stakeholder Survey.doc	No URL.	Yes	Yes	Fillable Printable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB 83-C Customer Stakeholder Survey	1625-0080_83C Stakeholder Survey.pdf	06/19/2007

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