Information Collection

Office of Space Facilities and Management (OFSM) Customer Satisfaction Survey/Focus Group Fitness Center (NCI)

IC 234118 under ICR 201702-0925-001 · OMB 0925-0642.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0642 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Office of Space Facilities and Management (OFSM) Customer Satisfaction Survey/Focus Group Fitness Center (NCI)	Form
1 6.1 Special Fitness Survey Special Fitness Survey.pdf	Form
61. Fast Track Fitness Special Survey.doc 6.1 Fast Track Fitness Special Survey	IC Document
Invitation Email.docx email Invitation	IC Document

IC Title:

Office of Space Facilities and Management (OFSM) Customer Satisfaction Survey/Focus Group Fitness Center (NCI)

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
Form	1	6.1 Special Fitness Survey	Special Fitness Survey.pdf		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
6.1 Fast Track Fitness Special Survey	61. Fast Track Fitness Special Survey.doc	11/21/2018
email Invitation	Invitation Email.docx	11/21/2018

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