Information Collection Request

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

ICR 202608-3124-002 · OMB 3124-0015 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
3124-0015 Supporting Statement A_08.27.26.docx Supporting Statement A Uploaded 2026-08-31 Available
OMB.3124-0015_Comments_copy[1].docx Public Comments Uploaded 2026-06-08 Available
OMB._3124-0015_Comment-__Pere_Jarboe[1].pdf Public Comments Uploaded 2026-06-08 Available
hhs734[1].pdf Public Comments Uploaded 2026-06-08 Available
hhs733[1].pdf Public Comments Uploaded 2026-06-08 Available
doc01830120260402022434[1].pdf Public Comments Uploaded 2026-06-08 Available
5.4.24.EcapeToGoLiveInMarchOMHA[1].pdf Public Comments Uploaded 2026-06-08 Available
Pere Jarboe's Comments MSPB OMB-3124-0015 submitted with attachments as stated June 8, 2026.pdf Public Comments Uploaded 2026-06-08 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 08/31/2026
3,000 3,000
50 50
1,887 1,887






table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,000 3,000 0 0 0 0
Annual Time Burden (Hours) 50 50 0 0 0 0
Annual Cost Burden (Dollars) 1,887 1,887 0 0 0 0


Reginfo record details
  No