Information Collection Request

Voluntary Customer Surveys

ICR 201008-1651-001 · OMB 1651-0135 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Customer Survey English paper version 2_18_2011.doc Supplementary Document Uploaded 2011-02-23 Repair queued
Customer survey flexicapture circle version 5_4_2010 (OMB edits).doc Supplementary Document Uploaded 2011-01-21 Available
CustomerSurveyScript.pdf Supplementary Document Uploaded 2010-09-01 Available
CustomerSurveyE.O.12862.pdf Supplementary Document Uploaded 2010-08-31 Repair queued
CustomerSurveyKorean.doc Supplementary Document Uploaded 2010-08-31 Available
Customer Survey Japanese.doc Supplementary Document Uploaded 2010-08-31 Source copy available
CustomerSurveyHindi.doc Supplementary Document Uploaded 2010-08-31 Repair queued
Customer Survey French.doc Supplementary Document Uploaded 2010-08-31 Repair queued
CustomerSurveySpanish.doc Supplementary Document Uploaded 2010-08-31 Available
CustomerSurveyChinese.doc Supplementary Document Uploaded 2010-08-31 Available
CustomerSurveyPortugese.doc Supplementary Document Uploaded 2010-08-31 Available
Customer Survey FR 30.pdf Supplementary Document Uploaded 2010-08-06 Available
Customer Survey FR 60.pdf Supplementary Document Uploaded 2010-08-06 Available
Customer Survey Statement Part B 8-5-10.doc Supporting Statement B Uploaded 2010-08-06 Available
Customer Survey Statement 2-15-2011.doc Supporting Statement A Uploaded 2011-02-15 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
194136 Voluntary Customer Surveys Other-Survey New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2012 36 Months From Approved
21,000 0 0
1,743 0 0
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Voluntary Customer Surveys

table that charts list of burden
  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 21,000 0 0 21,000 0 0
Annual Time Burden (Hours) 1,743 0 0 1,743 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No