OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Insurance Surveys

IC 191786 under ICR 201912-2900-001 · OMB 2900-0771.

Documents and Forms
Document Name
Document Type
Other-Customer Survey
Other-Customer Survey
Other-Customer Survey
Other-Customer Survey
Other-Customer Survey
Other-Customer Survey
Other-Customer Survey
Other-Customer Survey
Other-Customer Survey
Other-Customer Survey
Information Collection (IC) Details

View Information Collection (IC)

Insurance Surveys 2900-0771
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Customer Survey BO Survey.pdf No   Paper Only
Other-Customer Survey SDVI Appllication Survey.pdf No   Paper Only
Other-Customer Survey Death Claims Survey.pdf No   Paper Only
Other-Customer Survey VMLI Survey.pdf No   Paper Only
Other-Customer Survey Waiver Survey.pdf No   Paper Only
Other-Customer Survey Telephone Survey ICD.pdf No   Paper Only
Other-Customer Survey Telephone Survey PSD.pdf No   Paper Only
Other-Customer Survey PolicyLoanSurvey.pdf No   Paper Only
Other-Customer Survey CashSurr 292.pdf No   Paper Only
Other-Customer Survey Correspondence 292.pdf No   Paper Only

Community and Social Services Social Services

 

4,440 0
   
Individuals or Households
 
   0 %

  Approved 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 4,440 0 0 0 0 4,440
Annual IC Time Burden (Hours) 444 0 0 0 0 444
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.