Information Collection

Direct Express Cardholder Interview--Customer Feedback

IC 197894 under ICR 201103-1510-002 · OMB 1510-0076.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
DE Screener 5-11-11ER.doc	Other-Survey/Interview
DE IDI Guide 5-11-11ER.docx	Other-Discussion Guide
DE Carholder Ed_TriFold_v1_2.1.11.pdf TriFold	IC Document
DE Supp St 5-11-11ER.docx Supplementary Statement	IC Document
Request for Approval - Generic IC.pdf Request for Approval - Generic IC Fast-Track	IC Document

IC Title:

Agency IC Tracking Number:

1510-0076

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/Interview			DE Screener 5-11-11ER.doc		No		Printable Only
Other-Discussion Guide			DE IDI Guide 5-11-11ER.docx		No		Printable Only

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
TriFold	DE Carholder Ed_TriFold_v1_2.1.11.pdf	05/27/2011
Supplementary Statement	DE Supp St 5-11-11ER.docx	05/27/2011
Request for Approval - Generic IC Fast-Track	Request for Approval - Generic IC.pdf	05/27/2011

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