Information Collection

RD Business Center Customer Service Surveys

IC 231056 under ICR 201802-0503-002 · OMB 0503-0021.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

RD Business Center Customer Service Surveys

Agency IC Tracking Number:

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
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 %

table that charts list of burden
	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

table that charts IC Documents
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.