Feedback Widget for DOE Websites - AFDC-SEE

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⚠️ Notice: This information collection may be referencing outdated material.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 1910-5160 can be found here:

Documents and Forms

Document Name Document Type
AFDC Feedback Widget example.docx Other-survey
SEE Action Feedback Widget example.docx Other-survey
OMB Clearance form-widget-7-2-13.doc Generic Clearance Form-Feedback Widget IC Document

Information Collection (IC) Details

IC Title:	Feedback Widget for DOE Websites - AFDC-SEE	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
Other-survey			AFDC Feedback Widget example.docx		Yes	Yes	Fillable Fileable
Other-survey			SEE Action Feedback Widget example.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 15,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15,000	15,000
Annual IC Time Burden (Hours)	61	61
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Clearance Form-Feedback Widget	OMB Clearance form-widget-7-2-13.doc	11/01/2013

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