Information Collection

CRS Quallity of Service Survey

IC 206661 under ICR 201304-1103-003 · OMB 1103-0111.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1103-0111 can be found here:

Documents and Forms

Document Name Document Type
Form xxxx CRS Quallity of Service Survey Form and Instruction
xxxx CRS Quality of Service Survey 1103-NEW_CRS Survey Final_050913.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	CRS Quallity of Service Survey	Agency IC Tracking Number:

Is this a Common Form? No		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	xxxx	CRS Quality of Service Survey	1103-NEW_CRS Survey Final_050913.doc		Yes	No	Paper Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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