Information Collection

Division of Grants Management Operations Customer Service Satisfaction Survey

IC 264342 under ICR 202401-0915-004 · OMB 0915-0212.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Division of Grants Management Operations Customer Service Satisfaction Survey	Form
1 DGMO Customer Service Survey Questions DGMO Customer Service Survey Questions.docx	Form
1 DGMO Customer Service Survey Questions DGMO Customer Service Survey Questions.docx	Form
SS A - DGMO Customer Service Satisfaction Survey.docx Originial Generic Request	IC Document
SS A - DGMO Customer Service Satisfaction Survey.docx Originial Generic Request	IC Document

IC Title:

Agency IC Tracking Number:

IC Status: New

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	DGMO Customer Service Survey Questions	DGMO Customer Service Survey Questions.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 768

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	768	768
Annual IC Time Burden (Hours)	92	92
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Originial Generic Request	SS A - DGMO Customer Service Satisfaction Survey.docx	01/09/2024

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