Information Collection

OAM Customer Service Survey (NEI)

IC 255220 under ICR 202301-0925-002 · OMB 0925-0766.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0766 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 OAM Customer Service Survey (NEI)	Form
Form 1 OAM Customer Service Survey (NEI)	Form
1 OAM Customer survey OAMCustomerServiceSurvey_Peter.pdf	Form
1 OAM Customer survey OAMCustomerServiceSurvey_Peter.pdf	Form
OAM substudy under Citizen Science generic Template.docx sub-study for OAM Customer survey	IC Document
OAM substudy under Citizen Science generic Template.docx sub-study for OAM Customer survey	IC Document

IC Title:

OAM Customer Service Survey (NEI)

Agency IC Tracking Number:

IC Status: Unchanged

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	1	OAM Customer survey	OAMCustomerServiceSurvey_Peter.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 285

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	285	285
Annual IC Time Burden (Hours)	48	48
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
sub-study for OAM Customer survey	OAM substudy under Citizen Science generic Template.docx	08/09/2022

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