Generic Clearance for the Collection of Routine Customer Feedback

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⚠️ Notice: This information collection may be referencing outdated material.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 1525-0012 can be found here:

Documents and Forms

Document Name Document Type
Survey_AE Silver Enhanced Reverse Proof_10-31[5076].docx Other-Survey
1525-0012_AE Silver Enhanced Reverse Proof_FY20[5078].docx 1525-0012_AE Silver Enhanced Reverse Proof_FY20 IC Document

Information Collection (IC) Details

IC Title:	Generic Clearance for the Collection of Routine Customer Feedback	Agency IC Tracking Number:	1525-0012-0232

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320 5(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			Survey_AE Silver Enhanced Reverse Proof_10-31[5076].docx		No		Paper Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title: General Clearance to Voluntary Survey to Implement E.O. 12862	FR Citation: 83 FR 8318

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)	23	23
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
1525-0012_AE Silver Enhanced Reverse Proof_FY20	1525-0012_AE Silver Enhanced Reverse Proof_FY20[5078].docx	11/13/2019

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