Sub-study #32_Protocol and Information Office (PIO) External Customer Satisfaction Survey

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⚠️ Notice: This information collection may be referencing outdated material.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 0925-0642 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Sub-study #32_Protocol and Information Office (PIO) External Customer Satisfaction Survey Form and Instruction
1 PIO Survey Attachment 1_PIO External Survey.docx Form and Instruction
PIOSurvey_Fast-Track_Request.docx PIOSurvey_Fast-Track_Request IC Document
Attachment 2_PIO Email Invite_08-16-213.doc Attachment 2_PIO Email Invite_08-16-213 IC Document

Information Collection (IC) Details

IC Title:	Sub-study #32_Protocol and Information Office (PIO) External Customer Satisfaction Survey	Agency IC Tracking Number:

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
Form and Instruction	1	PIO Survey	Attachment 1_PIO External Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 50

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	100	0	0	0	0	0
Annual IC Time Burden (Hours)	8	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
PIOSurvey_Fast-Track_Request	PIOSurvey_Fast-Track_Request.docx	08/05/2013
Attachment 2_PIO Email Invite_08-16-213	Attachment 2_PIO Email Invite_08-16-213.doc	08/16/2013

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