Information Collection

Collaborative Customer Feedback

IC 218119 under ICR 201502-0970-004 · OMB 0970-0401.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Capacity Building Collaborative Customer Feedback Instrument Collaborative Customer Feedback	Form and Instruction
1 Capacity Building Collaborative Customer Feedback Instru Capacity building collaborative customer feedback instrument - event webinar inperson_9-8-15_final_for OMB.docx	Form and Instruction
Collaborative OMB fast track application for webinars and events 9-8-15_for CB _final for OMB.doc Fast Track Application	IC Document

IC Title:

Collaborative Customer Feedback

Agency IC Tracking Number:

ICFI

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
Form and Instruction	1				Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 533

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	533	533
Annual IC Time Burden (Hours)	442	442
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Application		09/09/2015

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

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