2015 752 OCS_CSGB_ACSI Survey of Eligible Entitities

American Customer Satisfaction Index "Customer Satisfaction Surveys"

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0007 can be found here:

Documents and Forms

Document Name Document Type
Form 752 2015 752 OCS_CSGB_ACSI Survey of Eligible Entitities Form and Instruction
752 2015 752 OCS_CSBG_ACSI Survey of Eligible Entitites 2015 752 OCS_CSBG_ACSI Survey of Eligible Entities Final 8-26-15.docx Form and Instruction
PRA supporting statement for CSBG Model State Plan FY2015.docx PRA Supporting Statement IC Document
DCL_CSBG MSP OMB Clearance.docx DCL Clearance IC Document
SUMM_Major Public Comments and the OCS Response Attachment A.docx Summary of Major Public Comments IC Document
MSP_CSBG Model State Plan DRAFT attachment B.docx Model State Plan IC Document
POL_CSBG State accountability measures DRAFT attachment C.docx State Accountability Measures IC Document
FORM_OLDC Access Form attachment D.docx Access Form Attachment D IC Document
CSBG Model State Plan PRA State Comments 2015.xlsx Model State Plan PRA Comments IC Document

Information Collection (IC) Details

IC Title:	2015 752 OCS_CSGB_ACSI Survey of Eligible Entitities	Agency IC Tracking Number:	752

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	752	2015 752 OCS_CSBG_ACSI Survey of Eligible Entitites	2015 752 OCS_CSBG_ACSI Survey of Eligible Entities Final 8-26-15.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
PRA Supporting Statement	PRA supporting statement for CSBG Model State Plan FY2015.docx	08/26/2015
DCL Clearance	DCL_CSBG MSP OMB Clearance.docx	08/26/2015
Summary of Major Public Comments	SUMM_Major Public Comments and the OCS Response Attachment A.docx	08/26/2015
Model State Plan	MSP_CSBG Model State Plan DRAFT attachment B.docx	08/26/2015
State Accountability Measures	POL_CSBG State accountability measures DRAFT attachment C.docx	08/26/2015
Access Form Attachment D	FORM_OLDC Access Form attachment D.docx	08/26/2015
Model State Plan PRA Comments	CSBG Model State Plan PRA State Comments 2015.xlsx	08/26/2015

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