2015 COOL Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery - AMS

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0581-0269 can be found here:

Documents and Forms

Document Name Document Type
2015 COOL Survey Form
2015 COOL Survey 2015 COOL Survey Monkey 02252015 OMB No 0581-0269.pdf www.surveymonkey.com/s/8S2VT7K Form
Survey COOL Certificate 02 12 15.pdf Certification Statement IC Document

Information Collection (IC) Details

IC Title:	2015 COOL 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
Form	None	2015 COOL Survey	2015 COOL Survey Monkey 02252015 OMB No 0581-0269.pdf	https://www.surveymonkey.com/s/8S2VT7K	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 328	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	328	328
Annual IC Time Burden (Hours)	164	164
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Certification Statement	Survey COOL Certificate 02 12 15.pdf	02/12/2015

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