Customer Service Survey for IMLS Regional Grants Workshop

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⚠️ Notice: This information collection may be referencing outdated material.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 Customer Service S Customer Service Survey for IMLS Regional Grants Workshop Form and Instruction
Customer Service S Customer Service Survey for IMLS Regional Grants Worksho PG Update - Customer Service Survey for IMLS Regional Grants Workshop Cover Form.docx Form and Instruction
PG Update - OMS Regional Grant Workshop Attendee Feedback Form 2019-07-30.docx PG Update - OMS Regional Grant Workshop Attendee Feedback Form IC Document

Information Collection (IC) Details

IC Title:	Customer Service Survey for IMLS Regional Grants Workshop	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	Customer Service Survey for IMLS Regional Grants 1	Customer Service Survey for IMLS Regional Grants Workshop	PG Update - Customer Service Survey for IMLS Regional Grants Workshop Cover Form.docx		No		Paper Only

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 480	Number of Respondents for Small Entity: 100

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	480	480
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	3,374	3,374

Documents for IC

Title	Document	Date Uploaded
PG Update - OMS Regional Grant Workshop Attendee Feedback Form	PG Update - OMS Regional Grant Workshop Attendee Feedback Form 2019-07-30.docx	08/05/2019

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