OCS LIHEAP Satisfaction Survey 20917 A1

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⚠️ Notice: This information collection may be referencing outdated material.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 066-20917 A1 OCS LIHEAP Satisfaction Survey 20917 A1 Form and Instruction
066-20917 A1 OCS LIHEAP Satisfaction Survey OCS_LIHEAP 2019_ACSI_Survey -.docx Form and Instruction
1090-0007 Generic Clearance Request Form_OCS LIHEAP 2019.pdf Generic Clearance Form 066-20917 A1 IC Document
OMB Mapping Cover_OCS LIHEAP 2019.xlsx OMB Mapping Cover OCS LIHEAP IC Document

Information Collection (IC) Details

IC Title:	OCS LIHEAP Satisfaction Survey 20917 A1	Agency IC Tracking Number:	066-20917 A1

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	066-20917 A1	OCS LIHEAP Satisfaction Survey	OCS_LIHEAP 2019_ACSI_Survey -.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
Generic Clearance Form 066-20917 A1	1090-0007 Generic Clearance Request Form_OCS LIHEAP 2019.pdf	09/26/2019
OMB Mapping Cover OCS LIHEAP	OMB Mapping Cover_OCS LIHEAP 2019.xlsx	09/26/2019

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