Information Collection

Summit Feedback Survey

IC 265565 under ICR 202406-3137-001 · OMB 3137-0081.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
IMLS_CAJM Satisfaction Survey Appendix_20220222 A.docx	Other-Customer Satisfaction Survey
IMLS_CAJM Satisfaction Survey Appendix_20220222 A.docx	Other-Customer Satisfaction Survey
IMLS_CAJM Satisfaction Survey RFA_20220222.docx Customer Satisfaction Survey Form	IC Document
IMLS_CAJM Satisfaction Survey RFA_20220222.docx Customer Satisfaction Survey Form	IC Document

IC Title:

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Customer Satisfaction Survey			IMLS_CAJM Satisfaction Survey Appendix_20220222 A.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 125

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	125	125
Annual IC Time Burden (Hours)	31	31
Annual IC Cost Burden (Dollars)	1,241	1,241

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Customer Satisfaction Survey Form	IMLS_CAJM Satisfaction Survey RFA_20220222.docx	02/22/2024

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