Surveys

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⚠️ Notice: This information collection may be referencing outdated material.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 3060-1149 can be found here:

Documents and Forms

Document Name Document Type
3060-1149 NLAD Carrier Online Survey FINAL DOC 8.5.16.docx Other-Survey
3060-1149 High Cost Broadband Data Submission Survey FINAL 8.5.16 (final).docx Other-Survey
3060-1149 Template Online Survey FINAL DOC 8.5.16.docx Supporting Statement IC Document
3060-1149 Generic clearance template High Cost Broadband Data Submission Process survey (final).docx Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	Surveys	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
Other-Survey			3060-1149 NLAD Carrier Online Survey FINAL DOC 8.5.16.docx		Yes	Yes	Fillable Fileable Signable
Other-Survey			3060-1149 High Cost Broadband Data Submission Survey FINAL 8.5.16 (final).docx		Yes	Yes	Fillable Fileable Signable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 700	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	700	700
Annual IC Time Burden (Hours)	135	135
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	3060-1149 Template Online Survey FINAL DOC 8.5.16.docx	08/06/2016
Supporting Statement	3060-1149 Generic clearance template High Cost Broadband Data Submission Process survey (final).docx	08/06/2016

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