Work Incentive Planning and Assistance (WIPA) Customer Comment Instrument

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

OMB: 0960-0788

IC ID: 229102

Information Collection (IC) Details

View Information Collection (IC)

Work Incentive Planning and Assistance (WIPA) Customer Comment Instrument
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WIPA Sample WIPA Customer Satisfaction Instrument Sample.docx No   Paper Only

Income Security General Retirement and Disability

 

20,400 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 20,400 0 20,400 0 0 0
Annual IC Time Burden (Hours) 2,380 0 2,380 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Description WIPA Customer Comment Instrument Description of WIPA Customer Satisfaction Instrument.docx 11/21/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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