Information Collection

RD Customer Service Questionnaire

IC 246119 under ICR 202103-0503-003 · OMB 0503-0021.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0503-0021 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
RD Customer Service Questionnaire.docx	Other-Survey
RD Customer Service Questionnaire.docx	Other-Survey
RD Internal Compliance Survey Template.docx RD Customer Service Template	IC Document
RD Internal Compliance Survey Template.docx RD Customer Service Template	IC Document

IC Title:

RD Customer Service Questionnaire

Agency IC Tracking Number:

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
Other-Survey			RD Customer Service Questionnaire.docx		Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,500	4,500
Annual IC Time Burden (Hours)	1,125	1,125
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
RD Customer Service Template	RD Internal Compliance Survey Template.docx	03/05/2021

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