Information Collection

RD Single Family Housing (SFH) Customer Satisfaction Survey

IC 212576 under ICR 201104-0503-001 · OMB 0503-0021.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0503-0021 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
RD SFH 2014 Customer Survey English.pdf	Other-Customer Satisfaction Survey
RD SFH 2014 Customer Survey Spanish.pdf	Other-Customer Satisfaction Survey -
RD SFH Customer Letter Sat Survey English.docx	Other-Cover Letter to Survey - Engli
RD SFH Customer Letter Sat Survey Spanish.docx	Other-Cover Letter to Survey - Spani
RD SFH Customer Survey Postcard English 4x6.pdf	Other-Survey Postcard Reminder - Eng
RD SFH Customer Survey Postcard Spanish 4x6.pdf	Other-Survey Postcard Reminder - Spa
RD SFH Customer Survey Certification Stmt.doc RD Single Family Housing (SFH) Customer Satisfaction Survey	IC Document

IC Title:

RD Single Family Housing (SFH) Customer Satisfaction Survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Customer Satisfaction Survey	RD SFH 2014 Customer Survey English.pdf	No	Paper Only
Other-Customer Satisfaction Survey - Sp Ver	RD SFH 2014 Customer Survey Spanish.pdf	No	Paper Only
Other-Cover Letter to Survey - English	RD SFH Customer Letter Sat Survey English.docx	No	Paper Only
Other-Cover Letter to Survey - Spanish	RD SFH Customer Letter Sat Survey Spanish.docx	No	Paper Only
Other-Survey Postcard Reminder - English	RD SFH Customer Survey Postcard English 4x6.pdf	No	Paper Only
Other-Survey Postcard Reminder - Spanish	RD SFH Customer Survey Postcard Spanish 4x6.pdf	No	Paper Only

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,640

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	10,640	10,640
Annual IC Time Burden (Hours)	1,774	1,774
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
RD Single Family Housing (SFH) Customer Satisfaction Survey	RD SFH Customer Survey Certification Stmt.doc	08/05/2014

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