Information Collection

Chicago Model FO Employee Feedback Survey and Visitor Feedback Survey

IC 228823 under ICR 201707-0960-002 · OMB 0960-0788.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0788 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Survey Chicago Model FO Employee and Vistor Feedback Survey.docx	Other-Survey Documentation
Description to Chicago Model FO Employee and Vistor Feedback Survey.docx Description to Chicago Model FO Employee and Vistor Feedback Survey	IC Document

IC Title:

Chicago Model FO Employee Feedback Survey and Visitor Feedback Survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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
Other-Survey Documentation			Survey Chicago Model FO Employee and Vistor Feedback Survey.docx		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,040

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	10,040	10,040
Annual IC Time Burden (Hours)	837	837
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Description to Chicago Model FO Employee and Vistor Feedback Survey	Description to Chicago Model FO Employee and Vistor Feedback Survey.docx	11/02/2017

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