OPM Exit Survey

Generic Customer Satisfaction

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0236 can be found here:

Documents and Forms

Document Name Document Type
Form 0 OPM Exit Survey Form
0 OPM Employee Exit Survey Exit Survey_2009.doc Form
Exit Survey Supporting Statement B.doc supporting statement b IC Document

Information Collection (IC) Details

IC Title:	OPM Exit Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0	OPM Employee Exit Survey	Exit Survey_2009.doc		No		Paper Only

Line of Business: General Government

Subfunction: Central Personnel

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	800	800
Annual IC Time Burden (Hours)	133	133
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
supporting statement b	Exit Survey Supporting Statement B.doc	05/22/2009

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