Information Collection Request

Collection of Qualitative Feedback on Agency Service Delivery

ICR 201709-3137-001 · OMB 3137-0081 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form NANH 1 NANH Museum Services Museum Meeting Feedback Form and Instruction New Available
Form 3731-0081 COSLA Measures That Matter Survey Form and Instruction New Available
Draft Generic Clearance 30 day FRN template.docx Supplementary Document Uploaded 2014-05-27 Available
Generic Clearance Submission Template.doc Supplementary Document Uploaded 2011-06-21 Repair queued
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery -Justification B.docx Supporting Statement B Uploaded 2014-05-27 Available
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery -Justification A.docx Supporting Statement A Uploaded 2014-05-27 Available
Draft Generic Clearance Submission Template.docx Supplementary Document Uploaded 2011-05-26 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
228521 NANH Museum Services Museum Meeting Feedback Form and Instruction New
228229 COSLA Measures That Matter Survey Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2020 36 Months From Approved 10/31/2017
4,900 0 4,900
1,418 0 1,418
38,102 0 38,102





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
NANH Museum Services Museum Meeting Feedback NANH 1 NANH Meeting Survey 2017
COSLA Measures That Matter Survey 3731-0081 COSLA Online Customer Feedback Survey

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,900 4,900 0 0 0 0
Annual Time Burden (Hours) 1,418 1,418 0 0 0 0
Annual Cost Burden (Dollars) 38,102 38,102 0 0 0 0


Reginfo record details
  No