Information Collection

ABA Customer Satisfaction Survey

IC 247543 under ICR 202103-3014-001 · OMB 3014-0011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3014-0011 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ABA Customer Satisfaction Survey	Form and Instruction
ABA Customer Satisfaction Survey (Online Version) ABA Customer Satisfaction Survey_Online Version_May 2021.pdf www.surveymonkey.com/r/BVCPH6H	Form and Instruction
ABA Customer Satisfaction Survey (PDF Version) ABA Customer Satisfaction Survey_PDF Version_May 2021.pdf	Form and Instruction

IC Title:

ABA Customer Satisfaction Survey

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
Form and Instruction	N/A	ABA Customer Satisfaction Survey (Online Version)	ABA Customer Satisfaction Survey_Online Version_May 2021.pdf	https://www.surveymonkey.com/r/BVCPH6H	Yes	Yes	Fillable Fileable
Form and Instruction	N/A	ABA Customer Satisfaction Survey (PDF Version)	ABA Customer Satisfaction Survey_PDF Version_May 2021.pdf	N/A	No		Fillable Printable

Line of Business: Community and Social Services

Subfunction: Social Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.