FPM Interaction Survey

Improving Customer Experience (OMB Circular A–11, Section 280)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2511-0001 can be found here:

Documents and Forms

Document Name Document Type
Interaction-Instrument.pdf Other-Instrument
Interaction-Instrument.pdf Other-Instrument
Interaction-ICR.docx ICR IC Document
Interaction-ICR.docx ICR IC Document

Information Collection (IC) Details

IC Title:	FPM Interaction 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-Instrument			Interaction-Instrument.pdf		Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,500	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	7,500	7,500
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ICR	Interaction-ICR.docx	03/07/2022

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