Voluntary Customer Surveys in Accordance with E.O. 12862

ICR 201003-3220-002

OMB: 3220-0192

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Supplementary Document
2010-03-31
Supplementary Document
2010-03-30
Supporting Statement B
2006-12-14
Supporting Statement A
2010-03-31
Supplementary Document
2006-12-14
IC Document Collections
IC ID
Document
Title
Status
192398 New
ICR Details
3220-0192 201003-3220-002
Historical Active 200612-3220-002
RRB
Voluntary Customer Surveys in Accordance with E.O. 12862
Extension without change of a currently approved collection   No
Regular
Approved without change 04/02/2010
Retrieve Notice of Action (NOA) 03/31/2010
  Inventory as of this Action Requested Previously Approved
04/30/2013 36 Months From Approved 04/30/2010
1,750 0 1,750
735 0 735
0 0 0

The Railroad Retirement Board (RRB) utilizes voluntary customer surveys to ascertain customer satisfaction with the RRB in terms of timeliness, appropriateness, access, and other measures of quality service. Surveys involve individuals that are direct or indirect beneficiaries of RRB services as well as railroad employers who must report earnings.

EO: EO 12862 Name/Subject of EO: Voluntary Customer Surveys
  
None

Not associated with rulemaking

  75 FR 4595 01/28/2010
75 FR 15755 03/30/2010
No

1
IC Title Form No. Form Name
Customer Assessment Survey G-201 Customer Assessment Survey

  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 1,750 1,750 0 0 0 0
Annual Time Burden (Hours) 735 735 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
No
Uncollected
Charles Mierzwa 312-751-3363 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/31/2010


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