Information Collection

Bridges to Opportunity Services Satisfaction Survey

IC 213337 under ICR 201611-0503-002 · OMB 0503-0021.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0503-0021 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FSA_BTO_ Customer Survey Questions_ 09 8 2014.docx	Other-Survey
Final Generic Clearance Certification Page-Customer Survey_9 8 2014 (1) FSA.docx Certification Page	IC Document

IC Title:

Bridges to Opportunity Services Satisfaction Survey

Agency IC Tracking Number:

FSA

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 7 CFR 2.94

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-Survey			FSA_BTO_ Customer Survey Questions_ 09 8 2014.docx		No		Paper Only

Line of Business: Natural Resources

Subfunction: Agricultural Innovation and Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Certification Page	Final Generic Clearance Certification Page-Customer Survey_9 8 2014 (1) FSA.docx	11/06/2014

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