Office of Administrative Law Judges Alternative Dispute Resolution Process User Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Renewal)

Documents and Forms

Document Name Document Type
Form 5800-017 Office of Administrative Law Judges Alternative Dispute Resolution Process User Survey Form
5800-017 User Survey 2017-03-23 - adr survey - omb approved.docx Form
5800-017 User Survey 2017-03-23 - adr survey - omb approved.docx Form
2020-12-31 - generic survey approval request - adr survey.docx Justification IC Document
2020-12-31 - generic survey approval request - adr survey.docx Justification IC Document

Information Collection (IC) Details

IC Title:	Office of Administrative Law Judges Alternative Dispute Resolution Process User Survey	Agency IC Tracking Number:	2434.117

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	5800-017	User Survey	2017-03-23 - adr survey - omb approved.docx		No		Paper Only

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	2020-12-31 - generic survey approval request - adr survey.docx	03/05/2021

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