Information Collection Request

Collection of Qualitative Feedback on Agency Service Delivery

ICR 201405-3137-003 · OMB 3137-0081 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form IMLS.gov Customer IMLS.gov Customer Satisfaction Survey Form and Instruction New Available
Form Vets Town Hall Sur Vets Town Hall Survey Form and Instruction New Available
Form Community Catalyst Community Catalyst Survey Form and Instruction New Available
Form NANH Customer Serv NANH Customer Service Survey Form and Instruction New Available
Form Form No1 IMLS Survey 141204 Form and Instruction New Available
Form Form number 1 IMLS Website Redesign Survey Form and Instruction New Available
Form Extranet Survey 1 Extranet Survey Form and Instruction New Available
Draft Generic Clearance 30 day FRN template.docx Supplementary Document Uploaded 2014-05-27 Available
Generic Clearance Submission Template.doc Supplementary Document Uploaded 2011-06-21 Available
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery -Justification B.docx Supporting Statement B Uploaded 2014-05-27 Available
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery -Justification A.docx Supporting Statement A Uploaded 2014-05-27 Available
Draft Generic Clearance Submission Template.docx Supplementary Document Uploaded 2011-05-26 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
225229 IMLS.gov Customer Satisfaction Surveys Form and Instruction NewIMLS.gov Customer Satisfaction Survey
224397 IMLS Community Salute Town Hall Evaluation Form and Instruction NewVets Town Hall Survey
223718 IMLS Community Catalyst Town Hall Evaluation Survey Form and Instruction NewCommunity Catalyst Survey
223714 Customer Service Survey for Annual Native American/Native Hawaiian Museum Services Grantee Meeting Form and Instruction NewNANH Customer Service Survey
214173 Customer input survey for development of an IMLS web-based evaluation tool Form and Instruction NewIMLS Survey 141204
214077 IMLS Website Redesign Interview Instruction New
214058 IMLS Website Redesign Survey Form and Instruction NewIMLS Website Redesign Survey
212314 Grants to States Extranet Survey Form and Instruction NewExtranet Survey

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2017 36 Months From Approved 07/31/2014
4,900 0 4,900
1,418 0 1,418
38,102 0 36,811





Reginfo record details
8
table that charts list of burden
IC Title Form No. Form Name
Customer Service Survey for Annual Native American/Native Hawaiian Museum Services Grantee Meeting NANH Customer Service Survey 1
Customer input survey for development of an IMLS web-based evaluation tool Form No1
Grants to States Extranet Survey Extranet Survey 1
IMLS Community Catalyst Town Hall Evaluation Survey Community Catalyst 1
IMLS Community Salute Town Hall Evaluation Vets Town Hall Survey form 1
IMLS Website Redesign Interview
IMLS Website Redesign Survey Form number 1
IMLS.gov Customer Satisfaction Surveys IMLS.gov Customer Satisfaction Survey 1

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,900 4,900 0 0 0 0
Annual Time Burden (Hours) 1,418 1,418 0 0 0 0
Annual Cost Burden (Dollars) 38,102 36,811 0 1,291 0 0


Reginfo record details
  No