Information Collection Request

Surveys for User Satisfaction, Impact and Needs

ICR 202109-0625-003 · OMB 0625-0275 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form ITA-XXXX Combined List of Customer Survey Questions Form New Repair queued
0625-0275 - Supporting Statement Part B for User Satisfaction Impact Needs 09-01-21a.docx Supporting Statement B Uploaded 2021-09-24 Repair queued
0625-0275 - Supporting Statement Part A and B for User Satisfaction Impact Needs 09-23-21.docx Supporting Statement A Uploaded 2021-09-24 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
249492 Combined List of Customer Survey Questions Form New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 10/31/2021
50,000 50,000
25,000 25,000
104,167 104,167





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Combined List of Customer Survey Questions ITA-XXXX Combined Survey Questions

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 50,000 50,000 0 0 0 0
Annual Time Burden (Hours) 25,000 25,000 0 0 0 0
Annual Cost Burden (Dollars) 104,167 104,167 0 0 0 0


Reginfo record details
  No