WHS Customer Experience Survey

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Documents and Forms

Document Name Document Type
OMB 0704-0553 Customer Satisfaction Survey WHS Online Survey 10052023.docx Other-Survey
WHS survey drop down options.xlsx Other-Supporting Document
WHS Customer Experience Survey_One-Pager.docx WHS Customer Satisfaction Survey_OnePager IC Document

Information Collection (IC) Details

IC Title:	WHS Customer Experience Survey	Agency IC Tracking Number:

IC Status: Removed

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-Survey			OMB 0704-0553 Customer Satisfaction Survey WHS Online Survey 10052023.docx		Yes	Yes	Fillable Fileable
Other-Supporting Document			WHS survey drop down options.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 365	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-730	730
Annual IC Time Burden (Hours)	-122	122
Annual IC Cost Burden (Dollars)	-876	876

Documents for IC

Title	Document	Date Uploaded
WHS Customer Satisfaction Survey_OnePager	WHS Customer Experience Survey_One-Pager.docx	10/12/2023

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