Information Collection Request

Collection of Qualitative Feedback on Agency Service Delivery

ICR 201407-3117-003 · OMB 3117-0222 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 2017_A Title VII Feedback 2017 Form and Instruction New Available
Form Moderator Moderator Guide Form and Instruction New Available
Form Screener Screener UX Form and Instruction New Repair queued
Form 337_Feedback Section 337 Mediation Survey Form and Instruction New Available
Form OP1-2 Title VII Customer Service Feedback Survey Form and Instruction New Available
Form EDIS-2 EDIS Customer Service Feedback Form and Instruction New Available
79FR43780_07282014.pdf Supplementary Document Uploaded 2014-07-31 Available
79FR31981_06032014.pdf Supplementary Document Uploaded 2014-07-31 Available
EO13571.pdf Supplementary Document Uploaded 2011-07-07 Available
m11-24.pdf Supplementary Document Uploaded 2011-07-07 Available
USITC-Support Statement--part A.docx Supporting Statement A Uploaded 2014-07-31 Available
USITC-Support Statement--part B.docx Supporting Statement B Uploaded 2014-07-31 Available
m11-26.pdf Supplementary Document Uploaded 2011-07-06 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
226511 Title VII Feedback Form and Instruction NewTitle VII Feedback 2017
226511 Title VII Feedback Other-SPDD Form New
223883 Usability testing Form and Instruction NewModerator Guide
223883 Usability testing Form and Instruction NewScreener UX
223883 Usability testing Other-Study plan New
217983 337 Mediation feedback Form and Instruction NewSection 337 Mediation Survey
217983 337 Mediation feedback Other-SPDD New
217258 Title VII Feedback Form and Instruction NewTitle VII Customer Service Feedback Survey
217258 Title VII Feedback Other-SPDD New
216250 EDIS Customer Feedback Form and Instruction NewEDIS Customer Service Feedback
216250 EDIS Customer Feedback Other-Supporting Documentation New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2017 36 Months From Approved 09/30/2014
1,995 0 1,785
1,118 0 1,371
74,852 0 94,599





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
337 Mediation feedback 337_Feedback
EDIS Customer Feedback EDIS-2
Title VII Feedback OP1-2
Title VII Feedback 2017_A
Usability testing Screener, Moderator ,  

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 1,995 1,785 0 210 0 0
Annual Time Burden (Hours) 1,118 1,371 0 -253 0 0
Annual Cost Burden (Dollars) 74,852 94,599 0 -19,747 0 0


Reginfo record details
  No