Information Collection

Feedback system customer satisfaction survey (formerly the OMBudsman system survey)

IC 234779 under ICR 201605-1845-002 · OMB 1845-0045.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0045 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Clean Version - Amend - FY 2018 - Feedback System Survey January 28, 2018.pdf	Other-Feedback System Survey
Template Gen Feedback system Survey - January 23 2019 (2).pdf Template for Gen IC	IC Document

IC Title:

Feedback system customer satisfaction survey (formerly the Ombudsman system survey)

Agency IC Tracking Number:

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-Feedback System Survey			Clean Version - Amend - FY 2018 - Feedback System Survey January 28, 2018.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,000	4,000
Annual IC Time Burden (Hours)	667	667
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template for Gen IC	Template Gen Feedback system Survey - January 23 2019 (2).pdf	01/30/2019

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