Information Collection

Agency Customer Satisfaction Surveys

IC 210195 under ICR 201312-3150-004 · OMB 3150-0217.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0217 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NRC Form 787 Freedom of Information Act User Survey Agency Customer Satisfaction Surveys	Form
Form NRC Form 659 NRC Public Meeting Feedback Agency Customer Satisfaction Surveys	Form and Instruction
PDR_Satisfaction_Survey_.docx	Other-Online survey
PDR survey screen shots.docx	Other-online survey
Vendor Inspection Report Survey .pdf	Other-online survey
Vendor inspection reports feedback screen shots.docx	Other-online survey
NRC Form 787 Freedom of Information Act User Survey NRC 787 FOIA Feedback form.pdf	Form
NRC Form 659 NRC Public Meeting Feedback NRC 659 Public Meeting Feedback Form.pdf	Form and Instruction
Submission Form for Public Meeting Feedback Form.pdf Submission form for PDR Survey	IC Document
Submission form for FOIA Feedback Form.pdf Submission form for FOIA Feedback form	IC Document
Submission form for Vendor Inspection Report Survey.pdf Submission form for Vendor Inspection Report Feedback	IC Document
Submission Form for Public Meeting Feedback Form.pdf Submission form for Public Meeting Feedback	IC Document

IC Title:

Agency Customer Satisfaction Surveys

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Online survey		Yes	Yes	Fillable Fileable
Other-online survey		Yes	Yes	Fillable Fileable
Form	NRC Form 787	No		Paper Only
Other-online survey		Yes	Yes	Fillable Fileable
Other-online survey		Yes	Yes	Fillable Fileable
Form and Instruction	NRC Form 659	Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,245

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 97 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,245	3,245
Annual IC Time Burden (Hours)	555	555
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Submission form for PDR Survey		03/18/2014
Submission form for FOIA Feedback form		03/18/2014
Submission form for Vendor Inspection Report Feedback		03/18/2014
Submission form for Public Meeting Feedback		03/18/2014

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

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