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pdfUnited States Department of Agriculture
FPAC-ISD-441C
OMB Control No. 0565-XXXX
OMB Expiration Date: XX/XX/XXXX
Farm Production and Conservation-Business Center
Geospatial Enterprise Operations
(proposal 1)
GEO SERVICE QUALITY SURVEY
Public Burden Statement (Paperwork Reduction Act (PRA): According to the PRA
requirement, no persons are required to respond to a collection of information unless it
displays a valid OMB control number. The valid OMB control number for this information
collection is 0565-XXXX. The time required to complete this information collection is
estimated to average five (5) minutes per response. If you have comments concerning
the accuracy of the time estimate(s) or suggestions for improving this form, please write
to: USDA-FPAC-BC Geospatial Enterprise Operations, Attn: Customer Fulfillment
Supervisor, 125 South State Street Suite 6416, Salt Lake City, Utah 84138-1102.
Geospatial Enterprise Operations
125 South State Street Suite 6416
Salt Lake City, Utah
USA
84138-1102
Phone: 801-844-2922
Fax: 855-415-2014
Website: USDA GEO Website
Dear Valued Customer:
As part of our ongoing effort to improve our service, I invite you to participate in this Service Quality Survey.
We hope your recent experience has been a good one, but whether your opinion is positive or negative, we’d like to
hear from you. Your opinion is extremely important to us.
If it would be more appropriate for another person to complete this survey, please pass it along to them. Responses
can be submitted on site, mailed, or email at [email protected]
Sincerely,
Customer Fulfillment Supervisor
COMPLETE SURVEY
1. The Aerial Imagery Specialist helping me was:
2. Order Number (If available)
3. Email Address
4. As for Customer Service, I am treated with courteous/tactful behavior with timely and accurate products/service in a positive professional manner.
Always
Usually
5. Information or Communications are clear, correct, timely and presented in an understandable manner.
Seldom
Always
Usually
Seldom
6. My time spent researching or requesting help was time well spent as I received the product without requiring revisions.
Always
Usually
Seldom
7. Comments
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from
discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or
reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.
Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA’s TARGET Center at (202) 720-2600
(voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or write a letter addressed to USDA and provide
in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: [email protected]. USDA is an equal opportunity provider, employer, and lender.
File Type | application/pdf |
File Title | This form is available electronically |
Author | anita.crowell |
File Modified | 2024-12-30 |
File Created | 2024-12-30 |