Customer Experience using the PRAMS Integrated Data Collection System

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⚠️ Notice: This information collection may be referencing outdated material.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 0920-1050 can be found here:

Documents and Forms

Document Name Document Type
Form PIDS User Feedback Customer Experience using the PRAMS Integrated Data Collection System Form and Instruction
PIDS User Feedback 0920-21BX PIDS_User_Feedback_Survey_12.14.20.docx Form and Instruction
Customer Service GenIC Clearance Template (Final 5.3)_ PRAMS_12.14.20.docx Request for GenIC Approval IC Document

Information Collection (IC) Details

IC Title:	Customer Experience using the PRAMS Integrated Data Collection System	Agency IC Tracking Number:	0920-21BX

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	PIDS User Feedback	0920-21BX	PIDS_User_Feedback_Survey_12.14.20.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	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	150	150
Annual IC Time Burden (Hours)	37	37
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for GenIC Approval	Customer Service GenIC Clearance Template (Final 5.3)_ PRAMS_12.14.20.docx	12/28/2020

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