Requests for Information from AVS

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[SURVEY PREVIEW MODE] Requests for Information from AVS Sur1.ey

Requests for Information from AVS

0MB Control #:
1029-0114
Expiration Date:
10/31/2026

AVSO SERVICES EVALUATION FORM
The Applican/Violator System Office within the Office of Surface Mining recently provided
you with assistance. To help us to assess the quality of our services under the Federal
Government Performance and Results Act, please take a few moments to fill out this
evaluation form. Your response, which is voluntary and anonymous, will help us to better
serve you in the future.
TYPE OF ASSISTANCE WE PROVIDED:
Requests for Information from AVS
(Goal: Provide information within 2 business days following request)
1. Please rate our timeliness:
1= Very Poor

2= Poor

3= Neutral

4= Good

5= Very Good

4= Good

5= Very Good

4= Good

5= Very Good

2. Please rate the quality of our assistance:
1= Very Poor

2= Poor

3= Neutral

3. Please rate our professionalism and courtesy:
1= Very Poor

2= Poor

3= Neutral

4. How can we improve our service to you?

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[SURVEY PREVIEW MODE] Requests for Information from AVS Sur1.ey

Thank you for your time. Your response will help us improve our service to you. If you
have comments or questions regarding this survey, you may contact Danny Brown with
the AVS office at 859-260-3929; alternatively, you can reach him by e-mail at
[email protected].

PAPERWORK REDUCTION ACT STATEMENT
The Paperwork Reduction Act of 1995 (44 U.S.C. 3501) requires us to inform you that: Federal Agencies may not conduct or
sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control
number. This information is being collected in order to better serve you in the future and as part of OSM's performance of its
responsibilities under the Government Performance and Results Act. The obligation to respond is voluntary.
Public reporting burden for this form is estimated to average 2 minutes per response, including time for reviewing instructions,
gathering and maintaining data, and completing and reviewing the form. Direct comments regarding the burden estimate or any
other aspect of this form to the Information Collection Clearance Officer, Office of Surface Mining Reclamation and Enforcement,
1849 C St. NW-MS 4512, Washington, D.C. 20240

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