Information Collection

Consumer Sampling Letter (questionnaire Re Quality Of Service Rendered

IC 147196 under ICR 198312-2900-026 · OMB 2900-0127.

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Information Collection (IC) Details

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IC Title:	CONSUMER SAMPLING LETTER (QUESTIONNAIRE RE QUALITY OF SERVICE RENDERED	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

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
Form	VAFL 27-652				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 19,473	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	19,473	3,711	15,762
Annual IC Time Burden (Hours)	3,246	619	2,627
Annual IC Cost Burden (Dollars)	0	0	0

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