CADR - Facilitated Long-Term Group: Submission and Survey

DOI 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⚠️ Notice: This information collection may be referencing outdated material.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 1090-0011 can be found here:

Documents and Forms

Document Name Document Type
OS FT-74 CADR Facilitated Long Term Group.docx Other-Customer Satisfaction Survey
OS FT-74 DI-4011 CADR Facilitated Long-Term Group Updated.pdf Request for Approval IC Document

Information Collection (IC) Details

IC Title:	CADR - Facilitated Long-Term Group: Submission and Survey	Agency IC Tracking Number:	2018-OS-FT30

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-Customer Satisfaction Survey			OS FT-74 CADR Facilitated Long Term Group.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	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	40	40
Annual IC Time Burden (Hours)	9	9
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	OS FT-74 DI-4011 CADR Facilitated Long-Term Group Updated.pdf	10/29/2018

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