Vendor Inspection Report Feedback Form

Generic Customer Satisfactions Surveys and NRC Form 671, Request for Review of a Customer Satisfaction Survey under Generic Clearance

Documents and Forms

Document Name Document Type
Vendor Inspection Report Feedback Form.docx Other-Online survey
NRC 671 for Vendor Inspection feedback 12-20.pdf Form 671 for Vendor Inspection Report Feedback Form IC Document

Information Collection (IC) Details

IC Title:	Vendor Inspection Report Feedback Form	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-Online survey			Vendor Inspection Report Feedback Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

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

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Form 671 for Vendor Inspection Report Feedback Form	NRC 671 for Vendor Inspection feedback 12-20.pdf	12/20/2012

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