Information Collection

Congressional Response Team Customer Satisfaction Survey

IC 225033 under ICR 201403-2900-007 · OMB 2900-0770.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CRT Customer Satisfaction Survey Instrument 20170104.docx URL to be determined	Other-Survey
Survey Invitation_CRT.docx	Other-Survey Invitation
Survey Reminder Letter_CRT.docx	Other-Survey Reminder Letter
CRT Satisfaction Survey IC 20170104.docx Generic Request - CRT	IC Document

IC Title:

Congressional Response Team Customer Satisfaction Survey

Agency IC Tracking Number:

2900-0770

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	CRT Customer Satisfaction Survey Instrument 20170104.docx	URL to be determined	Yes	No	Fillable Printable
Other-Survey Invitation	Survey Invitation_CRT.docx		No		Paper Only
Other-Survey Reminder Letter	Survey Reminder Letter_CRT.docx		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 110

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	110	110
Annual IC Time Burden (Hours)	9	9
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Request - CRT	CRT Satisfaction Survey IC 20170104.docx	01/17/2017

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