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 Screener Usability testing Form and Instruction New Repair queued
Form OP1-2 Title VII 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 Other-SPDD Form New
223883 Usability testing Form and Instruction New
217983 337 Mediation feedback Other-SPDD New
217258 Title VII Feedback Form and Instruction New
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





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