Customer Satisfaction Survey for 2018 UNGA AMR Side Event

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1071 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-1071 Customer Satisfaction Survey for 2018 UNGA AMR Side Event Form and Instruction
0920-1071 UNGA 2018 - AMR Side Event Survey and Emails UNGA 2018 - AMR Side Event Customer Satisfaction Survey Items and Email_....docx Form and Instruction
UNGA 2018 AMR Side Event - Service Delivery Fast Track Template_20180821....docx GenIC Fasttrack Template IC Document

Information Collection (IC) Details

IC Title:	Customer Satisfaction Survey for 2018 UNGA AMR Side Event	Agency IC Tracking Number:	0920-1071-18AXC

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	0920-1071	UNGA 2018 - AMR Side Event Survey and Emails	UNGA 2018 - AMR Side Event Customer Satisfaction Survey Items and Email_....docx	NA	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC Fasttrack Template	UNGA 2018 AMR Side Event - Service Delivery Fast Track Template_20180821....docx	08/22/2018

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