Alteryx Feedback Survey

Generic Clearance for Data User and Customer Evaluation Surveys

Documents and Forms

Document Name Document Type
Form Alteryx Feedback S Alteryx Feedback Survey Form
Alteryx Feedback S Alteryx Feedback Survey OnlineSurveyRevised_1-25-2013.docx Form
ombclearanceform_Alteryx_1-28-2013.docx Alteryx Feedback Survey Plan IC Document
PlannedEmail_SDC-CIC_Alteryx.docx Planned e-mail to participants IC Document
Sent_email to SDC-CIC_re_Alteryx.docx introductory e-mail IC Document

Information Collection (IC) Details

IC Title:	Alteryx Feedback Survey	Agency IC Tracking Number:

IC Status: Removed

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	Alteryx Feedback Survey	Alteryx Feedback Survey	OnlineSurveyRevised_1-25-2013.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-400	400
Annual IC Time Burden (Hours)	-600	600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Alteryx Feedback Survey Plan	ombclearanceform_Alteryx_1-28-2013.docx	01/29/2013
Planned e-mail to participants	PlannedEmail_SDC-CIC_Alteryx.docx	01/29/2013
introductory e-mail	Sent_email to SDC-CIC_re_Alteryx.docx	01/29/2013

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