Information Collection Request

Customer Complaint Form

ICR 201209-1557-001 · OMB 1557-0232 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Customer Complaint Form Form and Instruction Modified Available
1557-0232.docx Supporting Statement A Uploaded 2012-09-11 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
20142 Customer Complaint Form Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2015 36 Months From Approved 11/30/2012
40,000 0 81,180
3,320 0 6,738
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Customer Complaint Form N/A Customer Complaint Form

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 40,000 81,180 -41,180 0 0 0
Annual Time Burden (Hours) 3,320 6,738 -3,418 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No