Information Collection

Customer Satisfaction Surveys: Course Feedback Form, Alternate Dispute Resolution Program Participants, Public Document Room Users, FOIA Users

IC 225022 under ICR 201612-3150-001 · OMB 3150-0217.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0217 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NRC Form 840 Customer Satisfaction Surveys: Course Feedback Form, Alternate Dispute Resolution Program Participants, Public Document Room Users, FOIA Users	Form
Alternative Dispute Resolution Participant Questionnaire.docx	Other-Questionnaire
PDR survey screen shots.docx	Other-Online survey
NRC Form 840 Non-NRC Participant Course Feedback Form NRC 840 Non-NRC Participant Course Feedback Form.pdf	Form
NRC Form 787 FOIA User Feedback Form NRC 787 FOIA Feedback form.pdf	Form
Generic submission template for Course Feedback Form.pdf Generic submission template for NRC Form 840, Non-NRC Participant Course Feedback Form	IC Document
Generic submission template for ADR participant questionnaire.pdf Generic submission template for NRC Alternate Dispute Resolution Program Participant Questionnaire	IC Document
Generic submission template for PDR survey.pdf Generic submission template for Public Document Room User Feedback Survey	IC Document
Submission form for FOIA Feedback Form 2016.pdf Generic submission template for FOIA User Feedback Form	IC Document

IC Title:

Customer Satisfaction Surveys: Course Feedback Form, Alternate Dispute Resolution Program Participants, Public Document Room Users, FOIA Users

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NRC Form 840	Non-NRC Participant Course Feedback Form	NRC 840 Non-NRC Participant Course Feedback Form.pdf	No		Paper Only
Other-Questionnaire			Alternative Dispute Resolution Participant Questionnaire.docx	Yes	Yes	Fillable Fileable
Other-Online survey			PDR survey screen shots.docx	Yes	Yes	Fillable Fileable
Form	NRC Form 787	FOIA User Feedback Form	NRC 787 FOIA Feedback form.pdf	No		Paper Only

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,620

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,620	1,620
Annual IC Time Burden (Hours)	272	272
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic submission template for NRC Form 840, Non-NRC Participant Course Feedback Form	Generic submission template for Course Feedback Form.pdf	01/03/2017
Generic submission template for NRC Alternate Dispute Resolution Program Participant Questionnaire	Generic submission template for ADR participant questionnaire.pdf	01/03/2017
Generic submission template for Public Document Room User Feedback Survey	Generic submission template for PDR survey.pdf	01/03/2017
Generic submission template for FOIA User Feedback Form	Submission form for FOIA Feedback Form 2016.pdf	01/03/2017

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