Information Collection

Customer Satisfaction Survey for State Government Officials that Participated in the Office of Research and Development's FY2019-2022 Strategic Research Planning and Implementation Process

IC 246203 under ICR 202012-2010-001 · OMB 2010-0042.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5800-041 Customer Satisfaction Survey for State Government Officials that Participated in the Office of Research and Development's FY2019-2022 Strategic Research Planning and Implementation Process	Form
5800-041 ORD State Engagement Feedback Survey Survey Questions - ORD Survey on RACT Process.docx	Form
5800-041 ORD State Engagement Feedback Survey Survey Questions - ORD Survey on RACT Process.docx	Form
Justification Form - ORD Survey on RACT Process.docx Justification	IC Document
Justification Form - ORD Survey on RACT Process.docx Justification	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Customer Satisfaction Survey for State Government Officials that Participated in the Office of Research and Development's FY2019-2022 Strategic Research Planning and Implementation Process

Agency IC Tracking Number:

1234.135

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
Form	5800-041	ORD State Engagement Feedback Survey	Survey Questions - ORD Survey on RACT Process.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 51

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	51	51
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification	Justification Form - ORD Survey on RACT Process.docx	03/11/2021

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