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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Dashboard Prototype Customer Feedback	Agency IC Tracking Number:

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	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 %

	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

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.