Information Collection

HR SAID Customer Experience (CX) branch surveys (OD)

IC 251358 under ICR 202307-0925-002 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 HR SAID Customer Experience (CX) branch surveys (OD)	Form and Instruction
1 SSMIB Expience survey Rate_Your_SSIMB_Experience.docx	Form and Instruction
2 OD Experience survey Your_OD_Experience (1).docx	Form and Instruction
3 WAPOB Experience survey Your_WAPOB_Experience (2).docx	Form and Instruction
4 WLSB Experience survey Your_WLSB_Experience.docx	Form and Instruction
HR SAID fast track surveys.docx fast track for HR SAID Customer Experience	IC Document

IC Title:

HR SAID Customer Experience (CX) branch surveys (OD)

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	SSMIB Expience survey	Rate_Your_SSIMB_Experience.docx	Yes	Yes	Fillable Fileable
Form and Instruction	2	OD Experience survey	Your_OD_Experience (1).docx	Yes	Yes	Fillable Fileable
Form and Instruction	3	WAPOB Experience survey	Your_WAPOB_Experience (2).docx	Yes	Yes	Fillable Fileable
Form and Instruction	4	WLSB Experience survey	Your_WLSB_Experience.docx	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 110

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	440	440
Annual IC Time Burden (Hours)	37	37
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
fast track for HR SAID Customer Experience	HR SAID fast track surveys.docx	01/28/2022

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