Reclamation Water Information System - Customer 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⚠️ Notice: This information collection may be referencing outdated material.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
Reclamation Water Information System - Customer Survey (Google Form).pdf Other-Survey Tool
Reclamation Water Information System - Customer Survey (Responses).pdf Other-Survey Tool
DI-4011 Fast Track Request Form--Oct 2018 (1).pdf Request for Approval IC Document

Information Collection (IC) Details

IC Title:	Reclamation Water Information System - Customer Survey	Agency IC Tracking Number:	2019-BOR-FT86

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 Tool			Reclamation Water Information System - Customer Survey (Google Form).pdf		Yes	Yes	Fillable Fileable
Other-Survey Tool			Reclamation Water Information System - Customer Survey (Responses).pdf		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Water Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 51	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	51	51
Annual IC Time Burden (Hours)	9	9
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	DI-4011 Fast Track Request Form--Oct 2018 (1).pdf	10/22/2019

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