Customer Service Survey Project

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form VS 1-10S (Spanish) INSPECCION de SERVICIO DE ATENCION AL CLIENTE	Form	Modified	Available
Form VS 1-10 Customer Service Survey	Form	Modified	Available
Form VS 1-10S (Spanish) INSPECCION de SERVICIO DE ATENCION AL CLIENTE	Form	Modified	Available
Form VS 1-10 Customer Service Survey	Form	Modified	Available
Form VS 1-10S (Spanish) INSPECCION de SERVICIO DE ATENCION AL CLIENTE	Form	Modified	Repair queued
Form VS 1-10 Customer Service Survey	Form	Modified	Available
2014 APHIS 79 - 0334.xls	Supplementary Document	Uploaded 2013-09-25	Available
2014 APHIS 71 - 0334.xls	Supplementary Document	Uploaded 2013-09-25	Available
2014 SS 0334 Part B .docx	Supporting Statement B	Uploaded 2013-10-28	Available
2014 SS 0334 Part A.docx	Supporting Statement A	Uploaded 2013-10-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
209195	Customer Service Survey - Non-Responses - State	Other-Place Holder	New
209194	Customer Service Survey - Non-Responses - Individuals/Households	Other-Place Holder	New
183425	Customer Service Survey - Non-Responses - Priviate Sector	Other-Place holder	Modified
183424	Customer Service Survey - State, Local, or Tribal Government	Form	Modified	INSPECCION de SERVICIO DE ATENCION AL CLIENTE
183424	Customer Service Survey - State, Local, or Tribal Government	Form	Modified	Customer Service Survey
183423	Customer Service Survey - Private Sector	Form	Modified	INSPECCION de SERVICIO DE ATENCION AL CLIENTE
183423	Customer Service Survey - Private Sector	Form	Modified	Customer Service Survey
183422	Customer Service Survey - Individuals or Households	Form	Modified	INSPECCION de SERVICIO DE ATENCION AL CLIENTE
183422	Customer Service Survey - Individuals or Households	Form	Modified	Customer Service Survey

ICR Details

OMB Control No: 0579-0334	ICR Reference No: 201309-0579-005
Status: Historical Active	Previous ICR Reference No: 201010-0579-019
Agency/Subagency: USDA/APHIS	Agency Tracking No:
Title: Customer Service Survey Project
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/07/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/05/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2017	36 Months From Approved	02/28/2014
Responses	5,000	0	5,000
Time Burden (Hours)	248	0	248
Cost Burden (Dollars)	0	0	0

---

Abstract: This form will be used to solicit information from the general public who utilize the business services and animal programs administered by the USDA, APHIS, VS.

---

Authorizing Statute(s): US Code: 7 USC 8301 Name of Law: The Animal Health Protection Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 142	07/24/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 212	11/01/2013
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Customer Service Survey - Individuals or Households	VS 1-10, VS 1-10S (Spanish)	Customer Service Survey ,   INSPECCION de SERVICIO DE ATENCION AL CLIENTE
Customer Service Survey - Non-Responses - Individuals/Households
Customer Service Survey - Non-Responses - Priviate Sector
Customer Service Survey - Non-Responses - State
Customer Service Survey - Private Sector	VS 1-10S (Spanish), VS 1-10	Customer Service Survey ,   INSPECCION de SERVICIO DE ATENCION AL CLIENTE
Customer Service Survey - State, Local, or Tribal Government	VS 1-10, VS 1-10S (Spanish)	Customer Service Survey ,   INSPECCION de SERVICIO DE ATENCION AL CLIENTE

---

ICR Summary of Burden

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	5,000	5,000	0	0	0	0
Annual Time Burden (Hours)	248	248	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $23,417

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/05/2013

---