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OMBudsman Survey
Ombudsman Survey
OMB: 0651-0078
IC ID: 214956
OMB.report
DOC/PTO
OMB 0651-0078
ICR 201805-0651-001
IC 214956
( )
Documents and Forms
Document Name
Document Type
Ombudsman Survey
Form
Ombudsman Survey
2015 Ombudsman Survey instrument.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Ombudsman Survey
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
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
Form
none
Ombudsman Survey
2015 Ombudsman Survey instrument.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Economic Development
Subfunction:
Intellectual Property Protection
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,100
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,100
0
0
0
0
1,100
Annual IC Time Burden (Hours)
92
0
0
0
0
92
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.
