Information Collection

FSA Feedback System Collection Instruments

IC 219191 under ICR 202202-1845-001 · OMB 1845-0141.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1845-0141 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1845-0141 FDMS Taxonomy 05.16.22.pdf	Other-FSA Feedback System Taxonomy
1845-0141 FDMS Taxonomy 05.16.22.pdf	Other-FSA Feedback System Taxonomy
FSA Feedback System Clearance Screenshots for Authenticated Customer.pdf	Other-Screen Shot for Authenticated
FSA Feedback System Clearance Screenshots for Authenticated Customer.pdf	Other-Screen Shot for Authenticated
FSA Feedback System Screenshots for Unauthenticated Customer.pdf	Other-Screenshots for Unauthenticate
FSA Feedback System Screenshots for Unauthenticated Customer.pdf	Other-Screenshots for Unauthenticate
1845-0141 FSA Feedback and Dispute System 2022.pdf	Other-FSA Feedback and Dispute Syste
1845-0141 FSA Feedback and Dispute System 2022.pdf	Other-FSA Feedback and Dispute Syste

IC Title:

FSA Feedback System Collection Instruments

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-FSA Feedback System Taxonomy	1845-0141 FDMS Taxonomy 05.16.22.pdf	Yes	Yes	Fillable Fileable
Other-Screen Shot for Authenticated Customer	FSA Feedback System Clearance Screenshots for Authenticated Customer.pdf	Yes	Yes	Fillable Fileable
Other-Screenshots for Unauthenticated Customer	FSA Feedback System Screenshots for Unauthenticated Customer.pdf	Yes	Yes	Fillable Fileable
Other-FSA Feedback and Dispute System	1845-0141 FSA Feedback and Dispute System 2022.pdf	Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records

Title: Customer Engagement Management System (CEMS)

FR Citation: 83 FR 114

Number of Respondents: 43,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	43,200	43,200
Annual IC Time Burden (Hours)	7,344	7,344
Annual IC Cost Burden (Dollars)	0	0

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.