Information Collection

Fitness Center Feedback Survey and Employee Assistance Program satisfaction survey

IC 272764 under ICR 202407-3150-001 · OMB 3150-0217.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Fitness center feedback survey.pdf	Other-Online survey
Contact email for fitness center survey.docx	Other-Initial contact email
EAP customer satisfaction survey 2024.pdf	Other-online survey
Generic submission template for NRC Fitness Center Survey.pdf Generic submission template for fitness center survey	IC Document
Generic submission template for EAP survey (2).pdf Generic submission template for EAP customer satisfaction survey	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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Online survey	Yes	Yes	Fillable Fileable
Other-Initial contact email	Yes	Yes	Fillable Fileable
Other-online survey	Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 430

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	430	430
Annual IC Time Burden (Hours)	36	36
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic submission template for fitness center survey		12/03/2024
Generic submission template for EAP customer satisfaction survey		12/03/2024

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].