EEOICPA Customer Satisfaction Survey

Customer Satisfaction Surveys and Conference Evaluations Generic Clearance

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0059 can be found here:

Documents and Forms

Document Name Document Type
DEEOIC Customer Sat questionnaire , 12.16b.doc Other-Survey Instrument
DEEOIC Survey cover letter with DEEOIC updated 4JAN10.doc Other-Cover Letter
DEEOIC Cust. Sat. Survey Follow-up Postcard 9.17.doc Other-Follow-up Postcard
DEEOIC_Survey-BLS_Review.PDF BLS Approval IC Document
1225-0059-Vs3 0-FORMS(2003) BLS review A&B, 01-04-10.doc Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	EEOICPA Customer Satisfaction Survey	Agency IC Tracking Number:	DEEOIC 10-01

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Survey Instrument	DEEOIC Customer Sat questionnaire , 12.16b.doc	No	Paper Only
Other-Cover Letter	DEEOIC Survey cover letter with DEEOIC updated 4JAN10.doc	No	Paper Only
Other-Follow-up Postcard	DEEOIC Cust. Sat. Survey Follow-up Postcard 9.17.doc	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
BLS Approval	DEEOIC_Survey-BLS_Review.PDF	01/04/2010
Supporting Statement	1225-0059-Vs3 0-FORMS(2003) BLS review A&B, 01-04-10.doc	01/04/2010

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