SBIR Customer Satisfaction

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⚠️ Notice: This information collection may be referencing outdated material.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 2105-0573 can be found here:

Documents and Forms

Document Name Document Type
Form SBIR - 001 SBIR Customer Satisfaction Form and Instruction
SBIR - 001 SBIR Awardee Satisfaction DOT - PRA - SBIR Awardee Satisfaction - Instrument.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	SBIR Customer Satisfaction	Agency IC Tracking Number:

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	SBIR - 001	SBIR Awardee Satisfaction	DOT - PRA - SBIR Awardee Satisfaction - Instrument.pdf		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 50

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	13	13
Annual IC Cost Burden (Dollars)	2,350	2,350

Documents for IC

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.