Information Collection

Customer Satisfaction Survey

IC 221730 under ICR 201605-3420-002 · OMB 3420-0040.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OPIC-258 Customer Satisfaction Survey	Form
OPIC-258 Customer Satisfaction Survey OPIC-258_Customer Satisfaction Survey.pdf	Form

IC Title:

Agency IC Tracking Number:

OPIC-258

Is this a Common Form? No

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
Form	OPIC-258	Customer Satisfaction Survey	OPIC-258_Customer Satisfaction Survey.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 558

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	558	558
Annual IC Time Burden (Hours)	186	186
Annual IC Cost Burden (Dollars)	13,939	13,939

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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