Direct Express Cardholder Interview--Customer Feedback

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Direct Express Cardholder Interview--Customer Feedback	Agency IC Tracking Number:	1510-0076

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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 %

	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

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.