SSDCoP-HSGI Feedback Questionnaire

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1880-0542 can be found here:

Documents and Forms

Document Name Document Type
SSDCoP-HSGI Feedback Questionnaire Form and Instruction
SSDCoP HSGI Feedback SSDCoP-HSGI Feedback Questionnaire - 9-23-14.docx Form and Instruction
Routine Customer Feedback Clearance Request_SSDCoP-HSGI_9-16-14.docx Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 1880-054 IC Document

Information Collection (IC) Details

IC Title:	SSDCoP-HSGI Feedback Questionnaire	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 and Instruction	NA	SSDCoP HSGI Feedback	SSDCoP-HSGI Feedback Questionnaire - 9-23-14.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Elementary, Secondary, and Vocational Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	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	25	25
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 1880-0542)	Routine Customer Feedback Clearance Request_SSDCoP-HSGI_9-16-14.docx	09/23/2014

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