Information Collection

ABMC_Visitor Use Study

IC 252453 under ICR 202202-3263-001 · OMB 3263-0001.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ABMC_VisitorUseSurvey_Study Information Sheet_211208.docx	Instruction
ABMC_VisitorUseSurvey_OnlineSurveyDirections_211208 (1).docx	Instruction
ABMC_VisitorUseSurvey_Intercept Survey Protocol_220112.docx	Other-Survey Script
ABMC_VisitorUseSurvey_EmailMessage_220112.docx	Instruction
ABMC_VisitorUseandSatisfactionSurvey_French_220302.pdf	Other-Survey Script
ABMC_VisitorUseandSatisfactionSurvey_Italian_220302.pdf	Other-Survey Script
ABMC_VisitorUseSurvey_DutchSurvey_220302.pdf	Other-Survey Script
ABMC_VisitorUseSurvey_Survey_Spanish_220302.pdf	Other-Survey Script
ABMC_Survey_-_English_220216_UPDATED w PRA_11APR22.docx	Other-Survey Script
ABMC_VisitorUseSurvey_Draft Generic Clearance Submission Template_220216 (002).docx Generic Clearance for the Collection of Routine Customer Feedback	IC Document

IC Title:

Agency IC Tracking Number:

ABMC-FY2022-01-01

IC Status: New

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
Instruction	ABMC_VisitorUseSurvey_Study Information Sheet_211208.docx	Yes	Yes	Fillable Fileable
Instruction	ABMC_VisitorUseSurvey_OnlineSurveyDirections_211208 (1).docx	Yes	Yes	Fillable Fileable
Other-Survey Script	ABMC_VisitorUseSurvey_Intercept Survey Protocol_220112.docx	No		Fillable Fileable
Instruction	ABMC_VisitorUseSurvey_EmailMessage_220112.docx	Yes	Yes	Fillable Fileable
Other-Survey Script	ABMC_VisitorUseandSatisfactionSurvey_French_220302.pdf	Yes	Yes	Fillable Fileable
Other-Survey Script	ABMC_VisitorUseandSatisfactionSurvey_Italian_220302.pdf	Yes	Yes	Fillable Fileable
Other-Survey Script	ABMC_VisitorUseSurvey_DutchSurvey_220302.pdf	Yes	Yes	Fillable Fileable
Other-Survey Script	ABMC_VisitorUseSurvey_Survey_Spanish_220302.pdf	Yes	Yes	Fillable Fileable
Other-Survey Script	ABMC_Survey_-_English_220216_UPDATED w PRA_11APR22.docx	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12,000

Number of Respondents for Small Entity: 12,000

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12,000	12,000
Annual IC Time Burden (Hours)	2,000	2,000
Annual IC Cost Burden (Dollars)	83,000	83,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearance for the Collection of Routine Customer Feedback	ABMC_VisitorUseSurvey_Draft Generic Clearance Submission Template_220216 (002).docx	03/31/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.