Information Collection Request

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

ICR 200712-3041-001 · OMB 3041-0128 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
OMB0128_supporting statement (2008).doc Supporting Statement B Uploaded 2008-09-04 Available
OMB0128_supporting statement (2008).doc Supporting Statement A Uploaded 2008-09-04 Available
PRA_Customer Satisfaction Surveys FR2.pdf Supplementary Document Uploaded 2008-09-04 Available
OMB0128Additional Information.pdf Supplementary Document Uploaded 2008-08-01 Available
PIA Hotline Survey.PDF Supplementary Document Uploaded 2008-08-01 Available

IC Document Collections

ICR Details

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table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2011 36 Months From Approved 12/31/2008
684 0 745
65 0 50
1,821 0 0





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table that charts list of burden
IC Title Form No. Form Name
Customer Satisfaction Surveys: Fast Track Recall Survey, Ombudsman Survey, State Partner Survey, Hotline Survey, Web Site, and Clearinghouse Survey

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 684 745 0 -61 0 0
Annual Time Burden (Hours) 65 50 0 15 0 0
Annual Cost Burden (Dollars) 1,821 0 0 1,821 0 0


Reginfo record details
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