Information Collection Request

Public Assistance Customer Satisfaction Surveys

ICR 202310-1660-003 · OMB 1660-0107 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form FF-104-FY-21-158 ( Public Assistance Assessment Customer Satisfaction Survey (Internet) Form Modified Available
Form FF-104-FY-21-158 ( Public Assistance Assessment Customer Satisfaction Survey (Internet) (SLTT) Form Modified Repair queued
Form FF-104-FY-21-158 ( Public Assistance Assessment Customer Satisfaction Survey (Internet) Form Modified Available
Form FF-104-FY-21-158 ( Public Assistance Assessment Customer Satisfaction Survey (Internet) (Non-Profits) Form Modified Available
Form FF-104-FY-21-157 ( Public Assistance Assessment Customer Satisfaction Survey (Telephone) Form Modified Available
Form FF-104-FY-21-157 ( Public Assistance Assessment Customer Satisfaction Survey (Telephone) (SLTT) Form Modified Repair queued
Form FF-104-FY-21-157 ( Public Assistance Assessment Customer Satisfaction Survey (Telephone) Form Modified Available
Form FF-104-FY-21-157 ( Public Assistance Assessment Customer Satisfaction Survey (Telephone) (Non-Profits) Form Modified Repair queued
Form FF-104-FY-21-156 ( Public Assistance Initial Customer Satisfaction Survey (Internet) Form Modified Repair queued
Form FF-104-FY-21-156 ( Public Assistance Initial Customer Satisfaction Survey (Internet) (SLTT) Form Modified Available
Form FF-104-FY-21-156 ( Public Assistance Initial Customer Satisfaction Survey (Internet) Form Modified Available
Form FF-104-FY-21-156 ( Public Assistance Initial Customer Satisfaction Survey (Internet) (Non-Profits) Form Modified Repair queued
Form FF-104-FY-21-155 ( Public Assistance Initial Customer Satisfaction Survey (phone) Form Modified Available
Form FF-104-FY-21-155 ( Public Assistance Initial Customer Satisfaction Survey (Telephone) (SLTT) Form Modified Repair queued
Form FF-104-FY-21-155 ( Public Assistance Initial Customer Satisfaction Survey (phone) Form Modified Available
Form FF-104-FY-21-155 ( Public Assistance Initial Customer Satisfaction Survey (Telephone) (Non-Profits) Form Modified Repair queued
Executive Order 12862.pdf Supplementary Document Uploaded 2023-10-16 Repair queued
1660-0107 - BRI Supporting Statement A - 2023 03 01 clean.docx Supporting Statement A Uploaded 2023-10-16 Repair queued
1660-0107 - BRI Supporting Statement B - 2023 02 23 clean.docx Supporting Statement B Uploaded 2023-10-16 Repair queued
1660-0107 - Published 60-Day BRI FRN - 2022 12 09.pdf Supplementary Document Uploaded 2023-10-16 Repair queued
1660-0107 - Published 30-Day BRI FRN - 2023 03 01.pdf Supplementary Document Uploaded 2023-10-16 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
226191 Interviews (SLTT) Instruction Modified
226190 Interviews (Non-Profits) Instruction Modified
226189 Focus Groups (SLTT) Instruction Modified
226188 Focus Groups (Non-Profits) Instruction Modified
226187 Public Assistance Assessment Customer Satisfaction Survey (Internet) (SLTT) Form ModifiedPublic Assistance Assessment Customer Satisfaction Survey (Internet)
226187 Public Assistance Assessment Customer Satisfaction Survey (Internet) (SLTT) Form Modified
226186 Public Assistance Assessment Customer Satisfaction Survey (Internet) (Non-Profits) Form ModifiedPublic Assistance Assessment Customer Satisfaction Survey (Internet)
226186 Public Assistance Assessment Customer Satisfaction Survey (Internet) (Non-Profits) Form Modified
226185 Public Assistance Assessment Customer Satisfaction Survey (Telephone) (SLTT) Form ModifiedPublic Assistance Assessment Customer Satisfaction Survey (Telephone)
226185 Public Assistance Assessment Customer Satisfaction Survey (Telephone) (SLTT) Form Modified
226184 Public Assistance Assessment Customer Satisfaction Survey (Telephone) (Non-Profits) Form ModifiedPublic Assistance Assessment Customer Satisfaction Survey (Telephone)
226184 Public Assistance Assessment Customer Satisfaction Survey (Telephone) (Non-Profits) Form Modified
226183 Public Assistance Initial Customer Satisfaction Survey (Internet) (SLTT) Form ModifiedPublic Assistance Initial Customer Satisfaction Survey (Internet)
226183 Public Assistance Initial Customer Satisfaction Survey (Internet) (SLTT) Form Modified
226182 Public Assistance Initial Customer Satisfaction Survey (Internet) (Non-Profits) Form ModifiedPublic Assistance Initial Customer Satisfaction Survey (Internet)
226182 Public Assistance Initial Customer Satisfaction Survey (Internet) (Non-Profits) Form Modified
226181 Public Assistance Initial Customer Satisfaction Survey (Telephone) (SLTT) Form ModifiedPublic Assistance Initial Customer Satisfaction Survey (phone)
226181 Public Assistance Initial Customer Satisfaction Survey (Telephone) (SLTT) Form Modified
226180 Public Assistance Initial Customer Satisfaction Survey (Telephone) (Non-Profits) Form ModifiedPublic Assistance Initial Customer Satisfaction Survey (phone)
226180 Public Assistance Initial Customer Satisfaction Survey (Telephone) (Non-Profits) Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2026 36 Months From Approved 10/31/2024
3,885 0 4,034
1,839 0 1,902
0 0 11,664





Reginfo record details
12
table that charts list of burden
IC Title Form No. Form Name
Focus Groups (Non-Profits)
Focus Groups (SLTT)
Interviews (Non-Profits)
Interviews (SLTT)
Public Assistance Assessment Customer Satisfaction Survey (Internet) (Non-Profits) FF-104-FY-21-158 (formerly 519-0-35)
Public Assistance Assessment Customer Satisfaction Survey (Internet) (SLTT) FF-104-FY-21-158 (formerly 519-0-35)
Public Assistance Assessment Customer Satisfaction Survey (Telephone) (Non-Profits) FF-104-FY-21-157 (formerly 519-0-34)
Public Assistance Assessment Customer Satisfaction Survey (Telephone) (SLTT) FF-104-FY-21-157 (formerly 519-0-34)
Public Assistance Initial Customer Satisfaction Survey (Internet) (Non-Profits) FF-104-FY-21-156 (formerly 519-0-33)
Public Assistance Initial Customer Satisfaction Survey (Internet) (SLTT) FF-104-FY-21-156 (formerly 419-0-33)
Public Assistance Initial Customer Satisfaction Survey (Telephone) (Non-Profits) FF-104-FY-21-155 (formerly 519-0-32)
Public Assistance Initial Customer Satisfaction Survey (Telephone) (SLTT) FF-104-FY-21-155 (formerly 519-0-32)

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,885 4,034 0 0 -149 0
Annual Time Burden (Hours) 1,839 1,902 0 0 -63 0
Annual Cost Burden (Dollars) 0 11,664 0 0 -11,664 0


Reginfo record details
  No