Information Collection

Work with USAID.org Customer Survey -- Req. 22

IC 254168 under ICR 201911-3090-002 · OMB 3090-0321.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3090-0321 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
usaid-a11-touchpoints-survey.docx	Other-Web-based survey
Circular A-11 Section 280 - WorkwithUSAID.org CX June 2022.docx Work with USAID survey	IC Document

IC Title:

Work with USAID.org Customer Survey -- Req. 22

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Web-based survey					Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Work with USAID survey		06/10/2022

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

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