Customer Complaint Form

Customer Complaint Form

OMB: 1557-0232

IC ID: 20142

Documents and Forms
Document Name
Document Type
Other-Privacy Act Statement
Other-Privacy Act Statement
Form
Form
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Customer Complaint Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Privacy Act Statement Privacy Act Statement changes for OMB approval.docx Yes No Printable Only
Form N/A Declaracion de la Ley de Privacidad customer-complaint-form-spanish.pdf Yes Yes Fillable Fileable Signable
Form N/A Customer Complaint Form customer-complaint-form.pdf Yes Yes Fillable Fileable Signable

Economic Development Financial Sector Oversight

 

10,000 0
   
Individuals or Households
 
   45 %

  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 10,000 0 0 0 0 10,000
Annual IC Time Burden (Hours) 3,300 0 0 2,470 0 830
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.
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