Information Collection

Ticket To Work Employment Network Customer Satisfaction Survey

IC 205013 under ICR 201206-0960-002 · OMB 0960-0526.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0526 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
TTW EN Survey Questionnaire with Cover Letter.docx	Other-survey
Survey Description - TTW EN Customer Satisfaction Survey.docx Survey Description TTW EN Customer Satisfaction Survey	IC Document
Initial letter V4 docx.docx Initial Letter TTW EN Customer Satisfaction Survey	IC Document
Draft Postcard V4 docx.docx Postcard TTW EN Customer Satisfaction Survey	IC Document

IC Title:

Ticket To Work Employment Network Customer Satisfaction Survey

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-survey			TTW EN Survey Questionnaire with Cover Letter.docx		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 27,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	27,000	27,000
Annual IC Time Burden (Hours)	4,500	4,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Survey Description TTW EN Customer Satisfaction Survey	Survey Description - TTW EN Customer Satisfaction Survey.docx	12/10/2012
Initial Letter TTW EN Customer Satisfaction Survey	Initial letter V4 docx.docx	12/10/2012
Postcard TTW EN Customer Satisfaction Survey	Draft Postcard V4 docx.docx	12/10/2012

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