Reimbursable Services Program Stakeholder Feedback Survey

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⚠️ Notice: This information collection may be referencing outdated material.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 1651-0136 can be found here:

Documents and Forms

Document Name Document Type
Reimbursable Services Program Stakeholder Feedback Form - Screenshots.docx www.surveyshare.com/s/AYA9TBD Other-Survey
RSP Stakeholder Feedback Email.docx Stakeholder Feedback Email IC Document
Survey Recipient List.docx Survey Recipient List IC Document
AFP General- fast-track-PRA-submission-.doc Fast Track submission IC Document

Information Collection (IC) Details

IC Title:	Reimbursable Services Program Stakeholder Feedback Survey	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
Other-Survey			Reimbursable Services Program Stakeholder Feedback Form - Screenshots.docx	https://www.surveyshare.com/s/AYA9TBD	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Space Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	24	24
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Stakeholder Feedback Email	RSP Stakeholder Feedback Email.docx	03/10/2016
Survey Recipient List	Survey Recipient List.docx	03/10/2016
Fast Track submission	AFP General- fast-track-PRA-submission-.doc	05/03/2016

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