Survey and screener template for A11 280 Collections

Survey and screener template for A11 280 Collections.docx

Generic Clearance for Improving GSA's Customer Experience (OMB Circular A-11, Section 280 Implementation)

Survey and screener template for A11 280 Collections

OMB: 3090-0325

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OMB Control No. 3090-0325 (exp. Mm/dd/2028)

Estimated time to complete: x minutes

Your participation is voluntary

Do not include any personal information on this survey including name, email address, phone number, etc.

System of Records Notice [INSERT HYPERLINK]

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TITLE OF SURVEY OR SCREENER

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File Created2025-05-21

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