DHRA Shared Services Center Customer Experience Questionnaire

Fast Track 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⚠️ Notice: This information collection may be referencing outdated material.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 0704-0553 can be found here:

Documents and Forms

Document Name Document Type
DEOC Customer Experience Questionnaire_7.31.2020.docx Other-Questionnaire
OnePager_7.23.2020.docx One Pager IC Document

Information Collection (IC) Details

IC Title:	DHRA Shared Services Center Customer Experience Questionnaire	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
Other-Questionnaire			DEOC Customer Experience Questionnaire_7.31.2020.docx		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,500	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	3,500	3,500
Annual IC Time Burden (Hours)	583	583
Annual IC Cost Burden (Dollars)	4,235	4,235

Documents for IC

Title	Document	Date Uploaded
One Pager	OnePager_7.23.2020.docx	07/31/2020

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