Reporting and Recordkeeping Requirements

Reporting and Recordkeeping Requirements.xlsm

FSA's Qualitative Feedback on Agency Service Delivery

Reporting and Recordkeeping Requirements

OMB: 0560-0286

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INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-I: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
TITLE OF INFORMATION COLLECTION DOCUMENT OMB NO. 0560-0286














FSA's Qualitative Feedback on Agency Service Delivery (FSA Fast Track)





DATE PREPARED




October 29, 2020

























IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT
ANNUAL BURDEN















REPORTS
RECORDS RESPONDENT COST






















TOTAL BURDEN HOURS

TOTAL









FORMS NO (S) NO. OF NO OF TOTAL ANNUAL HOURS (Col. F x G) NO. OF ANNUAL RECORD- COST TOTAL

SECTION OF DESCRIPTION (If "none" RESPONDENTS RESPONSES RESPONSES PER (H) RECORD- HOURS PER KEEPING HOURS PER COST

REGS.




so state)
PER (Col. D x E) RESPONSE

KEEPERS RECORD- (Col. I x J) HOUR (Col. H x L)









RESPONDENT

EXEMPT NON-EXEMPT
KEEPER




(A) (B) (C) (D) (E) (F) (G)

(I) (J) (K) (L) (M)

eO 12862 Customer Survey
200,000 1 200,000 0.17
33,333



0


Comment Cards
10,000 1 10,000 0.25
2,500



0


Focus group
500 1 500 3.00
1,500



0














0

































































































































SUBTOTAL


210,500
0 37,333

0.00
0


TOTAL OF ALL PAGES


210,500
0 37,333

0.00
0

TOTAL - COLUMNS "F" AND "I" = OMB 83-I, 13b; COLUMNS "H" AND "K" = OMB 83-I, 13c


210,500

37,333






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File Modified0000-00-00
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