Summit Feedback Survey

Collection of Qualitative Feedback on Agency Service Delivery

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Summit Feedback Survey	Agency IC Tracking Number:

IC Status: Unchanged

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
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 %

	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

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.