OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Customer Satisfaction survey of PD&R Customers

IC 189088 under ICR 201112-2535-002 · OMB 2535-0116.

Documents and Forms
Document Name
Document Type
Other-eList Survey
Other-Phone Survey
Other-Web Survey
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Customer Satisfaction survey of PD&R Customers
 
Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-eList Survey 2009 eList Survey .doc Yes Yes Fillable Fileable
Other-Phone Survey 2009 Phone Survey .doc Yes Yes Fillable Fileable
Other-Web Survey 2009 Web Survey.doc Yes Yes Fillable Fileable

Community and Social Services Social Services

 

28,769 0
   
Individuals or Households
 
   99 %

  Requested 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 0 0 -28,769 0 0 28,769
Annual IC Time Burden (Hours) 0 0 -883 0 0 883
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supplementary Document 2009 83-ICustomer Satisfaction survery haley 2.docx 05/07/2009
Revised Supporting Statement Customer Sat Survey PD &R 2009 OMB Supporting Statement cust satisfaction Survey rv 6_27.doc 07/07/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.