WHIAAPI Customer Surveys

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1880-0542 can be found here:

Documents and Forms

Document Name Document Type
WHIAAPI Customer Surveys Form
Overall Evaluation Questions for roundtables and summits FINAL.docx Form
Pre and Post Survey FINAL.docx Form
Technology Platform Evaluation FINAL.docx Form
WHIAAPI Overall Evaluation Clearance Form.docx WHIAAPI Overall Evaluation Clearance Form IC Document
WHIAAPI Pre and Post Survey Clearance Form.docx WHIAAPI Pre and Post Survey Clearance Form IC Document
WHIAAPI Technology Access Evaluation Clearance Form.docx WHIAAPI Technology Access Evaluation Clearance Form IC Document

Information Collection (IC) Details

IC Title:	WHIAAPI Customer Surveys	Agency IC Tracking Number:	1795.68

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	N/A	Overall Evaluation Questions for roundtables and summits FINAL.docx	Yes	Yes	Fillable Fileable
Form	N/A	N/A	Pre and Post Survey FINAL.docx	Yes	Yes	Fillable Fileable
Form	N/A	N/A	Technology Platform Evaluation FINAL.docx	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
WHIAAPI Overall Evaluation Clearance Form	WHIAAPI Overall Evaluation Clearance Form.docx	04/10/2014
WHIAAPI Pre and Post Survey Clearance Form	WHIAAPI Pre and Post Survey Clearance Form.docx	04/10/2014
WHIAAPI Technology Access Evaluation Clearance Form	WHIAAPI Technology Access Evaluation Clearance Form.docx	04/10/2014

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