Collaborative Customer Feedback

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0401 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Collaborative Customer Feedback Form and Instruction
1 Capacity Building Collaborative Customer Feedback Instru Capacity building collaborative customer feedback instrument - event webinar inperson_9-8-15_final_for OMB.docx Form and Instruction
Collaborative OMB fast track application for webinars and events 9-8-15_for CB _final for OMB.doc Fast Track Application IC Document

Information Collection (IC) Details

IC Title:	Collaborative Customer Feedback	Agency IC Tracking Number:	ICFI

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Capacity Building Collaborative Customer Feedback Instrument	Capacity building collaborative customer feedback instrument - event webinar inperson_9-8-15_final_for OMB.docx		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 533	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	533	533
Annual IC Time Burden (Hours)	442	442
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Application	Collaborative OMB fast track application for webinars and events 9-8-15_for CB _final for OMB.doc	09/09/2015

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