NAC Customer Response Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCA, VBA, VHA)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2900-0770 can be found here:

Documents and Forms

Document Name Document Type
NAC Customer Response Survey.doc To Be Determined Other-Web Based
Generic Fast-Track IC Request _NAC Customer Response Survey.docx NAC Customer Response Survey IC Document

Information Collection (IC) Details

IC Title:	NAC Customer Response Survey	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-Web Based			NAC Customer Response Survey.doc	To Be Determined	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title: The Privacy Act of 1974	FR Citation: 5 FR 552

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
NAC Customer Response Survey	Generic Fast-Track IC Request _NAC Customer Response Survey.docx	04/30/2015

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