Information Collection

Customer Survey

IC 193228 under ICR 201005-1205-004 · OMB 1205-0479.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Technology Based Learning Eval - Customer Survey, Hardcopy FINAL.doc	Other-survey
Technology Based Learning Eval Cover Letter Hardcopy Survey FINAL.doc cover letter, hard copy survey	IC Document
Technology Based Learning Eval Cover Page Online Survey FINAL.doc cover page, online survey	IC Document
Technology Based Learning Eval PreNotification Letter FINAL.doc pre-notification letter for survey	IC Document

IC Title:

Customer Survey

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-survey			Technology Based Learning Eval - Customer Survey, Hardcopy FINAL.doc		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,050

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,050	1,050
Annual IC Time Burden (Hours)	350	350
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
cover letter, hard copy survey	Technology Based Learning Eval Cover Letter Hardcopy Survey FINAL.doc	01/05/2011
cover page, online survey	Technology Based Learning Eval Cover Page Online Survey FINAL.doc	01/05/2011
pre-notification letter for survey	Technology Based Learning Eval PreNotification Letter FINAL.doc	01/05/2011

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