Information Collection

Feedback from USGS Phone Customers

IC 217118 under ICR 201503-1090-001 · OMB 1090-0011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0011 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
PhoneCustomerFeedback.docx	Other-phone feedback
Phone Customer Justification (3).docx Justification for FT16	IC Document

IC Title:

Feedback from USGS Phone Customers

Agency IC Tracking Number:

FT16

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-phone feedback			PhoneCustomerFeedback.docx		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for FT16	Phone Customer Justification (3).docx	06/18/2015

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