Pesticide Safety Education Funds Management Program Customer Satisfaction Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Renewal)

Documents and Forms

Document Name Document Type
Form 9600-071 Pesticide Safety Education Funds Management Program Customer Satisfaction Survey Form
9600-071 Customer Satisfaction Survey: PSEFMP Application Process Customer Satisfaction Survey PSEFMP.docx Form
9600-071 Customer Satisfaction Survey: PSEFMP Application Process Customer Satisfaction Survey PSEFMP.docx Form
Revised Request for Approval Survey PSEFMP.docx Justification IC Document
Revised Request for Approval Survey PSEFMP.docx Justification IC Document

Information Collection (IC) Details

IC Title:	Pesticide Safety Education Funds Management Program Customer Satisfaction Survey	Agency IC Tracking Number:	2434.262

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	9600-071	Customer Satisfaction Survey: PSEFMP Application Process	Customer Satisfaction Survey PSEFMP.docx		Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	Revised Request for Approval Survey PSEFMP.docx	05/30/2024

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