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Federal forms, ICRs, and supporting documents

Information Collection

Customer Satisfaction Survey Template Blank

IC 233376 under ICR 201810-0960-002 · OMB 0960-0526.

Documents and Forms
Document Name
Document Type
Other- Mail Quiestionnair Sample
Other-Telephone Questionnaire Sample
Other-Mail, Internet, Telephone Ques
Other-Comment Card Questionnaire
Information Collection (IC) Details

View Information Collection (IC)

Customer Satisfaction Survey Template Blank
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other- Mail Quiestionnair Sample Category A Mail Questionnaire Sample.docx No   Paper Only
Other-Telephone Questionnaire Sample Category B Telephone Questionnaire Sample.docx No   Paper Only
Other-Mail, Internet, Telephone Questionnaire Sample Category C Mail, Internet, Telphone Sample.docx Yes Yes Fillable Printable
Other-Comment Card Questionnaire Category D Comment Card Questionnaire Sample.docx No   Paper Only

Income Security General Retirement and Disability

 

5,887,065 0
   
Individuals or Households
 
   50 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 5,887,065 0 5,887,065 0 0 0
Annual IC Time Burden (Hours) 1,129,339 0 1,129,339 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.