Information Collection

Two Customer Satisfaction Surveys - Field Office Comment Card and CSS Intercepts

IC 213230 under ICR 201409-0960-007 · OMB 0960-0788.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0788 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Survey Instrument FO Comment Card SSA-117-PC.pdf	Other-survey
Survey Instrument CSS intercept questions.doc	Other-survey
Template Field Office Customer Comment Card SSA-117.docx Template Description Field Office Customer Comment Card	IC Document
Template Survey Description CSS Intercepts.docx Template Description CSS Intercepts	IC Document

IC Title:

Two Customer Satisfaction Surveys - Field Office Comment Card and CSS Intercepts

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-survey			Survey Instrument FO Comment Card SSA-117-PC.pdf		No		Paper Only
Other-survey			Survey Instrument CSS intercept questions.doc		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 72,845

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	72,845	72,845
Annual IC Time Burden (Hours)	6,076	6,076
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template Description Field Office Customer Comment Card	Template Field Office Customer Comment Card SSA-117.docx	09/24/2014
Template Description CSS Intercepts	Template Survey Description CSS Intercepts.docx	09/24/2014

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