Information Collection

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

IC 203259 under ICR 201105-2132-001 · OMB 2132-0572.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2132-0572 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Contact Us Tool Customer Satisfaction Survey2.pdf	Other-Survey
Request for Approval under the Generic Clearance for the Collection of Routine Customer Feedback - Contact Us Tool.pdf Request for Approval under the Generic Clearance for the Collection of Routine Customer Feedback - Contact Us Tool	IC Document

IC Title:

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

Agency IC Tracking Number:

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			Contact Us Tool Customer Satisfaction Survey2.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval under the Generic Clearance for the Collection of Routine Customer Feedback - Contact Us Tool	Request for Approval under the Generic Clearance for the Collection of Routine Customer Feedback - Contact Us Tool.pdf	07/13/2012

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