COSLA Measures That Matter Survey

Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3137-0081 can be found here:

Documents and Forms

Document Name Document Type
Form 3731-0081 COSLA Measures That Matter Survey Form and Instruction
3731-0081 COSLA Online Customer Feedback Survey COSLA Online Survey2.pdf Form and Instruction
COSLA Fast Track PRA Application Final 2017-09-08.docx COSLA Fast Track Form IC Document

Information Collection (IC) Details

IC Title:	COSLA Measures That Matter Survey	Agency IC Tracking Number:

IC Status: New

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	3731-0081	COSLA Online Customer Feedback Survey	COSLA Online Survey2.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
COSLA Fast Track Form	COSLA Fast Track PRA Application Final 2017-09-08.docx	09/11/2017

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