Information Collection

Alteryx Feedback Survey

IC 205280 under ICR 201403-0607-004 · OMB 0607-0760.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.