Information Collection

Fiscal Year (FY) 2016 Customer Satisifaction Surveys

IC 217889 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⚠️ Notice: This information collection may be referencing outdated material.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
DICRC Initial Claims Report Card Questionnaire.doc	Other-DICRC Survey Questionnaire
FY16 DICRC Survey Correspondence (3).docx	Other-DICRC Survey Correspondence
Description FY 2016 National 800 Number Caller Survey(revised).docx	Other-800 Number Caller Survey
FY 2016 800 Number Survey Questionnaire(revised).docx	Other-800 Number Survey Questionnair
FY16 Retirement Applicant Survey Correspondence.docx	Other-Retirement Applicant Survey Co
FY16 Retirement Applicant Survey Questionnaire.docx	Other-Retirement Applicant Survey Qu
FY16 OVS Survey Correspondence for Field and Hearing Offices and for SSN Card Center.docx	Other-OVS Survey Correspondence
FY16 OVS Survey Questionnaires.docx	Other-OVS Survey Questionnaire
DICRC documentation.docx DICRC Documentation for GC of Customer Satisfaction Surveys	IC Document
DICRC Initial Claims Report Card Questionnaire.doc DICRC Survey Questionnaire	IC Document
FY16 DICRC Survey Correspondence (3).docx DICRC Survey Coorespondence	IC Document
FY 2016 Retirement Applicant Survey Documentation.docx Retirement Application Survey Documenation for GC of Customer Satisfaction Surveys	IC Document
FY 2016 Office Visitor Survey Documenation.docx Offce Visitor Survey Documenation for GC Customer Satisfaction Surveys	IC Document
FY 2016 National 800 Number Caller Survey Documentation.docx 800 Number Caller Survey Documentation	IC Document

IC Title:

Fiscal Year (FY) 2016 Customer Satisifaction Surveys

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-DICRC Survey Questionnaire	DICRC Initial Claims Report Card Questionnaire.doc	No	Paper Only
Other-DICRC Survey Correspondence	FY16 DICRC Survey Correspondence (3).docx	No	Paper Only
Other-800 Number Caller Survey	Description FY 2016 National 800 Number Caller Survey(revised).docx	No	Paper Only
Other-800 Number Survey Questionnaire	FY 2016 800 Number Survey Questionnaire(revised).docx	No	Paper Only
Other-Retirement Applicant Survey Correspondence	FY16 Retirement Applicant Survey Correspondence.docx	No	Paper Only
Other-Retirement Applicant Survey Questionnaire	FY16 Retirement Applicant Survey Questionnaire.docx	No	Paper Only
Other-OVS Survey Correspondence	FY16 OVS Survey Correspondence for Field and Hearing Offices and for SSN Card Center.docx	No	Paper Only
Other-OVS Survey Questionnaire	FY16 OVS Survey Questionnaires.docx	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 54,890

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	54,890	54,890
Annual IC Time Burden (Hours)	7,741	7,741
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
DICRC Documentation for GC of Customer Satisfaction Surveys	DICRC documentation.docx	08/17/2015
DICRC Survey Questionnaire	DICRC Initial Claims Report Card Questionnaire.doc	08/17/2015
DICRC Survey Coorespondence	FY16 DICRC Survey Correspondence (3).docx	08/17/2015
Retirement Application Survey Documenation for GC of Customer Satisfaction Surveys	FY 2016 Retirement Applicant Survey Documentation.docx	10/14/2015
Offce Visitor Survey Documenation for GC Customer Satisfaction Surveys	FY 2016 Office Visitor Survey Documenation.docx	10/14/2015
800 Number Caller Survey Documentation	FY 2016 National 800 Number Caller Survey Documentation.docx	10/16/2015

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