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FY22 Focus Groups
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 1525-0012
IC ID: 248936
OMB.report
TREAS/MINT
OMB 1525-0012
ICR 202110-1525-003
IC 248936
( )
Documents and Forms
Document Name
Document Type
FY22 Focus Groups
Form and Instruction
Customer Screener Survey
1525-0012 FY2022 Customer Screener.docx
Form and Instruction
Customer Screener Survey
1525-0012 FY2022 Customer Screener.docx
Form and Instruction
Non-Customer Screener Survey
1525-0012 FY2022 Non-Customer General Screener.docx
Form and Instruction
Non-Customer Screener Survey
1525-0012 FY2022 Non-Customer General Screener.docx
Form and Instruction
Focus Group DIscussion Guide
1525-0012 FY2022 Focus Groups Discussion Guide.docx
Form and Instruction
Focus Group DIscussion Guide
1525-0012 FY2022 Focus Groups Discussion Guide.docx
Form and Instruction
1525-0012 Generic Clearance Submission Focus Groups FY22.docx
Generic Submission Form
IC Document
1525-0012 Generic Clearance Submission Focus Groups FY22.docx
Generic Submission Form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
FY22 Focus Groups
Agency IC Tracking Number:
IC Status:
Unchanged
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
n/a
Customer Screener Survey
1525-0012 FY2022 Customer Screener.docx
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Non-Customer Screener Survey
1525-0012 FY2022 Non-Customer General Screener.docx
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Focus Group DIscussion Guide
1525-0012 FY2022 Focus Groups Discussion Guide.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Fiscal Operations
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
576
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
576
0
0
0
0
576
Annual IC Time Burden (Hours)
1,152
0
0
0
0
1,152
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Generic Submission Form
1525-0012 Generic Clearance Submission Focus Groups FY22.docx
08/18/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.