Quarterly Product Fulfillment Survey FY21

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⚠️ Notice: This information collection may be referencing outdated material.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
1525-0012 - Quarterly Product Fulfillment Survey FY21 Questionnaire.docx Other-Survey
1525-0012 - Quarterly Product Fulfillment Research FY21 Justification.docx Quarterly Product Fulfillment Research FY21 Justification IC Document
CY2021 (2QFY21 - 1QFY22) Product Fulfillment Sample Request.docx CY2021 (2QFY21 - 1QFY22) Product Fulfillment Sample Request IC Document

Information Collection (IC) Details

IC Title:	Quarterly Product Fulfillment Survey FY21	Agency IC Tracking Number:	1525-0012-0236

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			1525-0012 - Quarterly Product Fulfillment Survey FY21 Questionnaire.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12,000	12,000
Annual IC Time Burden (Hours)	2,000	2,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Quarterly Product Fulfillment Research FY21 Justification	1525-0012 - Quarterly Product Fulfillment Research FY21 Justification.docx	09/22/2020
CY2021 (2QFY21 - 1QFY22) Product Fulfillment Sample Request	CY2021 (2QFY21 - 1QFY22) Product Fulfillment Sample Request.docx	09/10/2020

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