Information Collection

Small Business Customer Feedback

IC 189774 under ICR 200906-3245-002 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Appendix A Small Business Customer Feedback	Form and Instruction
Appendix A Usability Customer Feedback Appendix A.doc	Form and Instruction
Appendix B Focus Groups Customer Feedback Appendix B.doc	Form and Instruction
Appendix C Proposed on line Community Forum Collections Customer Feedback Appendix C.doc	Form and Instruction

IC Title:

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	Available Electronically?	Electronic Capability
Form and Instruction	Appendix A	Usability	Customer Feedback Appendix A.doc	No	Fillable Printable
Form and Instruction	Appendix B	Focus Groups	Customer Feedback Appendix B.doc	No	Fillable Printable
Form and Instruction	Appendix C	Proposed on line Community Forum Collections	Customer Feedback Appendix C.doc	No	Fillable Printable

Line of Business: Economic Development

Subfunction: Industry Sector Income Stabilization

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,400

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,400	8,400
Annual IC Time Burden (Hours)	1,310	1,310
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.