Information Collection

Customer Satisfaction Surveys: Fast Track Recall Survey, State Partner Survey, Hotline Survey, and Clearinghouse Survey

IC 42251 under ICR 200306-3041-002 · OMB 3041-0128.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3041-0128 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Customer Satisfaction Surveys: Fast Track Recall Survey, State Partner Survey, Hotline Survey, and Clearinghouse Survey	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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,001	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,001	500	501
Annual IC Time Burden (Hours)	71	42	29
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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