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NNSA OCIO Customer Feedback Form (#2)
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 1910-5160
IC ID: 277794
OMB.report
DOE/DOEOA
OMB 1910-5160
ICR 202602-1910-005
IC 277794
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
NNSA OCIO Customer Feedback Form (#2)
Agency IC Tracking Number:
Adina Young
IC Status:
Unchanged
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
NNSA OCIO Customer Feedback Form v.2.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Personnel
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
370
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
370
0
0
0
0
370
Annual IC Time Burden (Hours)
31
0
0
0
0
31
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Generic Submission Template
20250206_Generic Clearance Submission_CustomerFeedback.docx
09/30/2025
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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