SLGSafe Usability Survey

Generic Clearance for Improving Customer Experience (OMB Circular A-11, Section 280 Implementation)

Documents and Forms

Document Name Document Type
SLGSafe Usability Survey.docx Other-Survey
ICR Template_A11 Section 280 Clearance_SLGSafe Usability Survey.docx Request for Clearance IC Document

Information Collection (IC) Details

IC Title:	SLGSafe Usability Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			SLGSafe Usability Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,362	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,362	1,362
Annual IC Time Burden (Hours)	68	68
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Clearance	ICR Template_A11 Section 280 Clearance_SLGSafe Usability Survey.docx	01/19/2022

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