Copy Center User Experience survey

Clearance for the Collection of Qualitative Feedback

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0651-0080 can be found here:

Documents and Forms

Document Name Document Type
Certified Copy Center User Experience Questionnaire_Question Set.docx Other-Survey
0651-0080 Generic Clearance Request for Approval 2019.docx Generic Clearance Request Worksheet IC Document

Information Collection (IC) Details

IC Title:	Copy Center User Experience survey	Agency IC Tracking Number:	G305

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			Certified Copy Center User Experience Questionnaire_Question Set.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Intellectual Property Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,600	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	3,600	3,600
Annual IC Time Burden (Hours)	240	240
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Clearance Request Worksheet	0651-0080 Generic Clearance Request for Approval 2019.docx	09/20/2019

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