Combined List of Customer Survey Questions

Surveys for User Satisfaction, Impact and Needs

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Combined List of Customer Survey Questions	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
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 %

	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

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.