Information Collection

Combined List of Customer Survey Questions

IC 249492 under ICR 202109-0625-003 · OMB 0625-0275.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0625-0275 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ITA-XXXX Combined List of Customer Survey Questions	Form
ITA-XXXX Combined Survey Questions 0625-0275 Combined Customer Survey Questions 09-15-21.docx	Form
ITA-XXXX Combined Survey Questions 0625-0275 Combined Customer Survey Questions 09-15-21.docx	Form

IC Title:

Combined List of Customer Survey Questions

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	ITA-XXXX	Combined Survey Questions	0625-0275 Combined Customer Survey Questions 09-15-21.docx		Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Global Trade

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50,000

Number of Respondents for Small Entity: 42,500

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50,000	50,000
Annual IC Time Burden (Hours)	25,000	25,000
Annual IC Cost Burden (Dollars)	104,150	104,150

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.