BLM Information Access Center (IAC) Customer Comment Card

DOI 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⚠️ Notice: This information collection may be referencing outdated material.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 1090-0011 can be found here:

Documents and Forms

Document Name Document Type
Customer Comment Card-6-18-2015.doc Other-customer comment card
Justification for FT4-6-18-2015.doc Justification for FT4 IC Document

Information Collection (IC) Details

IC Title:	BLM Information Access Center (IAC) Customer Comment Card	Agency IC Tracking Number:	FT4

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-customer comment card			Customer Comment Card-6-18-2015.doc		No		Paper Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification for FT4	Justification for FT4-6-18-2015.doc	06/18/2015

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