Information Collection

Bridges to Opportunity Services Satisfaction Survey

IC 213036 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⚠️ Notice: This information collection may be referencing outdated material.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
Final Generic Clearance Certification Page-Customer Survey_9 8 2014 .docx	Other-Certification Page
FSA_BTO_ Customer Survey Questions_ 09 8 2014.docx	Other-Customer Satisfication Survey

IC Title:

Bridges to Opportunity Services Satisfaction Survey

Agency IC Tracking Number:

FSA

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 2.94

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-Customer Satisfication Survey			FSA_BTO_ Customer Survey Questions_ 09 8 2014.docx		No		Paper Only
Other-Certification Page			Final Generic Clearance Certification Page-Customer Survey_9 8 2014 .docx		No		Paper Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,200

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	1,200	1,200
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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