PAEMST Alumni Event Evaluation Form

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⚠️ Notice: This information collection may be referencing outdated material.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 3145-0215 can be found here:

Documents and Forms

Document Name Document Type
PAEMST 2016 Alumni Evaluation Form (002).docx Other-Customer Satisfaction Survey
Generic Clearance Submission Template_2016 Eval PAEMST Alumni.docx Supporting Statement for 2016 PAEMST Alumni Event IC Document
Copy of PAEMST 2016 Alumni Registration List.xlsx PAEMST List IC Document

Information Collection (IC) Details

IC Title:	PAEMST Alumni Event Evaluation Form	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-Customer Satisfaction Survey			PAEMST 2016 Alumni Evaluation Form (002).docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement for 2016 PAEMST Alumni Event	Generic Clearance Submission Template_2016 Eval PAEMST Alumni.docx	06/28/2016
PAEMST List	Copy of PAEMST 2016 Alumni Registration List.xlsx	06/28/2016

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