Information Collection Request

Collection of Qualitative Feedback on Agency Service Delivery

ICR 202311-3137-001 · OMB 3137-0081 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
IMLS_3137-0081_GC Qual Feedback_ Burden Estimate 20231030.xlsx Supplementary Document Uploaded 2023-11-03 Available
GC Qual Feedback Part B_20201014 (1).docx Supplementary Document Uploaded 2023-11-03 Available
GC Qual Feedback Part A_20201014.docx Supplementary Document Uploaded 2023-11-03 Available
GC Qual Feedback Part B Final 2017-1013.docx Supplementary Document Uploaded 2020-11-17 Repair queued
GC Qual Feedback Part A Final 2017-10-13.docx Supplementary Document Uploaded 2020-11-17 Repair queued
CQFASD_burden_2020_20201011-CB.xlsx Supplementary Document Uploaded 2020-11-17 Missing upstream
IMLS_3137-0081_GC Qual Feedback_Part B_20231030.docx Supporting Statement B Uploaded 2023-11-03 Available
IMLS_3137-0081_GC Qual Feedback_Part A_20231030.docx Supporting Statement A Uploaded 2023-11-03 Available
CQFASD_burden2017 for OMB Final 2017-10-13.xlsx Supplementary Document Uploaded 2017-10-16 Repair queued
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery -Justification B.docx Supplementary Document Uploaded 2017-10-16 Repair queued
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery -Justification A.docx Supplementary Document Uploaded 2017-10-16 Available
Draft Generic Clearance 30 day FRN template.docx Supplementary Document Uploaded 2014-05-27 Repair queued
Generic Clearance Submission Template.doc Supplementary Document Uploaded 2011-06-21 Repair queued
Draft Generic Clearance Submission Template.docx Supplementary Document Uploaded 2011-05-26 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
264266 New SDC Orientation and Annual SDC Meeting Customer Satisfaction Surveys Other-Customer Satisfaction Survey New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 12/31/2023
9,854 9,854
2,376 2,376
69,154 69,154






table that charts list of burden
  Total Request 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 9,854 9,854 9,975 -9,975 0 0
Annual Time Burden (Hours) 2,376 2,376 2,975 -2,975 0 0
Annual Cost Burden (Dollars) 69,154 69,154 90,619 -90,619 0 0


Reginfo record details
  No