Information Collection

Customer Experience and Equity Assessment Survey

IC 260777 under ICR 202504-1225-002 · OMB 1225-0093.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0093 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Customer Experience and Equity Assessment Survey	Form and Instruction
Customer Experience and Equity Assessment Survey Customer Experience and Equity Assessment Survey	Form and Instruction
Customer Experience and Equity Assessment Survey Longshore ECOMP-Instrument_SURVEY 2_v2 edit_final reviewed.docx "Pop Up" option	Form and Instruction
Customer Experience and Equity Assessment Survey Longshore ECOMP-Instrument_SURVEY 2_v2 edit_final reviewed.docx "Pop Up" option	Form and Instruction
1225-0093 - A11 Section 280 Clearance_6-8-2023_SURVEY 2_v2 edit OMB COMMENTS 6 16 23_final reviewed.docx Customer Experience and Equity Assessment Survey	IC Document
1225-0093 - A11 Section 280 Clearance_6-8-2023_SURVEY 2_v2 edit OMB COMMENTS 6 16 23_final reviewed.docx Customer Experience and Equity Assessment Survey	IC Document

IC Title:

Customer Experience and Equity Assessment Survey

Agency IC Tracking Number:

IC Status: Unchanged

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
Form and Instruction	NA			"Pop Up" option	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,156

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	3,156	3,156
Annual IC Time Burden (Hours)	263	263
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Customer Experience and Equity Assessment Survey		06/23/2023

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

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