Information Collection

Various Customer Feedback Activities

IC 206226 under ICR 201403-0607-004 · OMB 0607-0760.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
recruitmentquestionnaire.docx	Other-2012 Economic Census Focus Gro
moderatorsguide.docx	Other-2012 Economic Census Focus Gro
WBAprofile.docx	Other-2012 Economic Census Focus Gro
InitialandReminderEmail.docx	Other-CIC Feedback Survey - Introduc
2012sdcannualreport_emails.docx	Other-SDC Feedback Survey - Introduc
CIC Feedback Surve CIC Feedback Survey - Questionnaire cic2012.pdf	Form
SDC Feedback Surve SDC Feedback Survey - Questionnaire 2012sdcannualreport.xlsx	Form
ombclearanceform.docx 2012 Economic Census Focus Groups - Plan	IC Document
ombclearanceform.docx CIC Feedback Survey - Plan	IC Document
ombclearanceform.docx SDC Feedback Survey - Plan	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-2012 Economic Census Focus Groups - Recruitment Questionnaire			recruitmentquestionnaire.docx	No		Paper Only
Other-2012 Economic Census Focus Groups - Moderator's Guide			moderatorsguide.docx	No		Paper Only
Other-2012 Economic Census Focus Groups - WB&A Profile			WBAprofile.docx	No		Paper Only
Form	CIC Feedback Survey - Questionnaire	CIC Feedback Survey - Questionnaire	cic2012.pdf	Yes	Yes	Fillable Fileable
Other-CIC Feedback Survey - Introductory Email			InitialandReminderEmail.docx	Yes	Yes	Fillable Fileable
Form	SDC Feedback Survey - Questionnaire	SDC Feedback Survey - Questionnaire	2012sdcannualreport.xlsx	Yes	Yes	Fillable Fileable
Other-SDC Feedback Survey - Introductory email			2012sdcannualreport_emails.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: 311

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-311	311
Annual IC Time Burden (Hours)	-526	526
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
2012 Economic Census Focus Groups - Plan	ombclearanceform.docx	03/22/2013
CIC Feedback Survey - Plan	ombclearanceform.docx	03/22/2013
SDC Feedback Survey - Plan	ombclearanceform.docx	03/22/2013

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