Information Collection

ABA Complainant Customer Satisfaction Survey

IC 231893 under ICR 201711-3014-001 · OMB 3014-0011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3014-0011 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ABA Complainant Customer Satisfaction Survey	Form
ABA Complainant Customer Satisfaction Survey ABA Customer Satisfaction Survey_Fillable PDF_Revised Final_5_17_18.pdf	Form
ABA Online Customer Satisfaction Survey Instrument ABA Online Customer Satisfaction Survey Instrument_screenshots_May 2018.docx	Form

IC Title:

ABA Complainant Customer Satisfaction Survey

Agency IC Tracking Number:

3014-011-01

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	n/a	ABA Complainant Customer Satisfaction Survey	ABA Customer Satisfaction Survey_Fillable PDF_Revised Final_5_17_18.pdf		Yes	No	Fillable Printable
Form	n/a	ABA Online Customer Satisfaction Survey Instrument	ABA Online Customer Satisfaction Survey Instrument_screenshots_May 2018.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 123

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 85 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	123	123
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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