Customer Experience Survey

Customer Satisfaction Monitoring

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0192 can be found here:

Documents and Forms

Document Name Document Type
Form Form T-36 (Propose Customer Experience Survey Form
Form T-36 (Propose Customer Experience Survey Telephone Customer Experience Survey.pdf Form
3220-0192 - Generic IC Justification.docx 3220-0192 - Generic IC Memo IC Document

Information Collection (IC) Details

IC Title:	Customer Experience Survey	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	Form T-36 (Proposed)	Customer Experience Survey	Telephone Customer Experience Survey.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title: RRB–55, Contact Log	FR Citation: 79 FR 58874

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
3220-0192 - Generic IC Memo	3220-0192 - Generic IC Justification.docx	03/11/2020

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