Information Collection

Regulatory Customer Service Survey

IC 5558 under ICR 202104-0710-002 · OMB 0710-0012.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ENG 5065 Regulatory Customer Service Survey	Form
ENG 5065 Customer Service Survey - Regulatory Program ENG5065_Final.docx	Form
ENG 5065 Customer Service Survey - Regulatory Program ENG5065_Final.docx	Form
Website Screenshot to Survey.PNG Sample Website Link to Survey	IC Document
Website Screenshot to Survey.PNG Sample Website Link to Survey	IC Document
Sample NWO Memo to Respondent.docx Sample Memo Invitation	IC Document
Sample NWO Memo to Respondent.docx Sample Memo Invitation	IC Document
Sample Email to Respondent.docx Sample Email Invitation	IC Document
Sample Email to Respondent.docx Sample Email Invitation	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	ENG 5065	Customer Service Survey - Regulatory Program	ENG5065_Final.docx		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title: General Permit Files

FR Citation: 58 FR 10002

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,000	-1,000	2,000
Annual IC Time Burden (Hours)	167	-166	333
Annual IC Cost Burden (Dollars)	4,287	-3,353	7,640

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Sample Website Link to Survey	Website Screenshot to Survey.PNG	04/27/2021
Sample Memo Invitation	Sample NWO Memo to Respondent.docx	04/28/2021
Sample Email Invitation	Sample Email to Respondent.docx	04/28/2021

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