RPMS eLearning Hands-on Customer Satisfaction Survey

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⚠️ Notice: This information collection may be referencing outdated material.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 0917-0036 can be found here:

Documents and Forms

Document Name Document Type
Form OMB No. 0917-0036- RPMS eLearning Hands-on Customer Satisfaction Survey Form and Instruction
OMB No. 0917-0036- OMB No. 0917-0036-30, RPMS eLearning Hands-on Customer S OMB No. 0917-0036-30, RPMS eLearning Hands-on Customer Satisfaction Survey.pdf Form and Instruction
OMB No 0917-0036-30 Mini-Supporting Statement for OIT RPMS eLearning Hands-on Customer Satisfaction Survey.doc OMB No. 0917-0036-30, Mini-Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	RPMS eLearning Hands-on Customer Satisfaction Survey	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
Form and Instruction	OMB No. 0917-0036-30	OMB No. 0917-0036-30, RPMS eLearning Hands-on Customer Satisfaction Survey	OMB No. 0917-0036-30, RPMS eLearning Hands-on Customer Satisfaction Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,500	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,500	2,500
Annual IC Time Burden (Hours)	208	208
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB No. 0917-0036-30, Mini-Supporting Statement	OMB No 0917-0036-30 Mini-Supporting Statement for OIT RPMS eLearning Hands-on Customer Satisfaction Survey.doc	12/30/2013

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