RD Business Center Customer Service Surveys

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0503-0021 can be found here:

Documents and Forms

Document Name Document Type
RD Business Center customer survey question External Customers.pdf www.surveymonkey.com/r/OM_Satisfaction_Survey Other-Survey
RD Business Center customer survey question.pdf www.surveymonkey.com/r/OM_Satisfaction_Survey Other-Survey
RD Submission Clearance Certification Template.doc RD Certification Template IC Document

Information Collection (IC) Details

IC Title:	RD Business Center Customer Service Surveys	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
Other-Survey			RD Business Center customer survey question External Customers.pdf	https://www.surveymonkey.com/r/OM_Satisfaction_Survey	Yes	Yes	Fillable Fileable Signable
Other-Survey			RD Business Center customer survey question.pdf	https://www.surveymonkey.com/r/OM_Satisfaction_Survey	Yes	Yes	Fillable Fileable Signable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
RD Certification Template	RD Submission Clearance Certification Template.doc	04/17/2018

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