2016 Jefferson Lecture in the Humanities 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⚠️ Notice: This information collection may be referencing outdated material.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 3136-0140 can be found here:

Documents and Forms

Document Name Document Type
2016 Jefferson Lecture Survey Screenshots.pdf docs.google.com/forms/d/1AlyOd16aWt-4V6Mz-yTEeL3FvcrFLwaNGb_wrdycJy0/viewform?c=0&w=1 Other-Customer Satisfaction Survey
Generic Clearance Submission for 2016 Jefferson Lecture in the Humanities Survey.docx Generic Clearance Submission for 2016 Jefferson Lecture in the Humanities Survey IC Document

Information Collection (IC) Details

IC Title:	2016 Jefferson Lecture in the Humanities 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-Customer Satisfaction Survey			2016 Jefferson Lecture Survey Screenshots.pdf	https://docs.google.com/forms/d/1AlyOd16aWt-4V6Mz-yTEeL3FvcrFLwaNGb_wrdycJy0/viewform?c=0&w=1	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Clearance Submission for 2016 Jefferson Lecture in the Humanities Survey	Generic Clearance Submission for 2016 Jefferson Lecture in the Humanities Survey.docx	05/20/2016

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