SBSE ACSI Questionnaire-20275-A5-2

American Customer Satisfaction Index "Customer Satisfaction Surveys"

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0007 can be found here:

Documents and Forms

Document Name Document Type
Form 059-20275A5-2 SBSE ACSI Questionnaire-20275-A5-2 Form and Instruction
059-20275A5-2 SBSE ACSI Questionnaire 20275A5-2 2019 SBSE ACSI Questionnaire - DRAFT 5.22.19.docx Form and Instruction
OMB Mapping Cover Template_2019_IRS SBSE.xlsx OMB Mapping Cover for SBSE Survey IC Document
Generic Clearance Request Form IRS SBSE_IA 20275 A5-2-Signed.pdf Generic Clearance Request form IC Document

Information Collection (IC) Details

IC Title:	SBSE ACSI Questionnaire-20275-A5-2	Agency IC Tracking Number:	059-20275A5-2

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
Form and Instruction	059-20275A5-2	SBSE ACSI Questionnaire 20275A5-2	2019 SBSE ACSI Questionnaire - DRAFT 5.22.19.docx		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	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	250	250
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
OMB Mapping Cover for SBSE Survey	OMB Mapping Cover Template_2019_IRS SBSE.xlsx	06/13/2019
Generic Clearance Request form	Generic Clearance Request Form IRS SBSE_IA 20275 A5-2-Signed.pdf	06/13/2019

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