Information Collection

Dashboard Prototype Customer Feedback

IC 214639 under ICR 201111-0648-005 · OMB 0648-0342.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0342 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Dashboard Prototype Customer Feedback	Form
Phone and Outreach Scripts.docx	Other-correspondence
DPCF Survey Map.pdf	Other-accessory to instrument
Dashboard Prototype Customer Feedback DPCF survey instrument.docx	Form
DPCF SupplementaryQuestions.docx Supplemental and Part B Questions	IC Document

IC Title:

Dashboard Prototype Customer Feedback

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NA	Dashboard Prototype Customer Feedback	DPCF survey instrument.docx	Yes	Yes	Fillable Fileable
Other-correspondence			Phone and Outreach Scripts.docx	Yes	No	Printable Only
Other-accessory to instrument			DPCF Survey Map.pdf	Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 34

Number of Respondents for Small Entity: 20

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	34	34
Annual IC Time Burden (Hours)	9	9
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supplemental and Part B Questions	DPCF SupplementaryQuestions.docx	01/14/2015

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