2016 NASA OMBudsman Program User 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⚠️ Notice: This information collection may be referencing outdated material.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 2700-0153 can be found here:

Documents and Forms

Document Name Document Type
NASA Ombudsman Program 2016 Customer Satisfaction Survey_OMB Submittal..docx Other-Survey
Fast Track Short Form 2016 NASA Ombudsman Program User Survey 10-21-16.pdf Fast Track Short Form IC Document

Information Collection (IC) Details

IC Title:	2016 NASA Ombudsman Program User 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			NASA Ombudsman Program 2016 Customer Satisfaction Survey_OMB Submittal..docx		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Space Exploration 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 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	188	188
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Short Form	Fast Track Short Form 2016 NASA Ombudsman Program User Survey 10-21-16.pdf	10/27/2016

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