Information Collection

CAC Customer Satisfaction Surveys Phase 1 and 2

IC 272117 under ICR 202411-3133-001 · OMB 3133-0188.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
CAC Phase 1 Customer Satisfaction Survey.docx	Other-Screenshot
CAC Phase 1 Customer Satisfaction Survey.docx	Other-Screenshot
CAC Phase 2 Customer Satisfaction Survey.docx	Other-Screenshot
CAC Phase 2 Customer Satisfaction Survey.docx	Other-Screenshot
PRA Fast Track CAC Satisfaction Survey.docx PRA Fast Track Clearance Form_CAC 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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screenshot					Yes	Yes	Fillable Fileable
Other-Screenshot					Yes	Yes	Fillable Fileable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,000

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	833	833
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
PRA Fast Track Clearance Form_CAC Satisfaction Survey		12/20/2024

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

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