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Federal forms, ICRs, and supporting documents

Information Collection

Voluntary Customer Feedback Survey: General Information And Outreach Needs Of Small And Very Small Establishments

IC 231558 under ICR 201803-0583-003 · OMB 0583-0151.

Documents and Forms
Document Name
Document Type
Other-web survey Arabic
Other-web survey Chinese
Other-web survey Spanish
Other-web survey Vietnamese
Other-web survey
IC Document
Information Collection (IC) Details

View Information Collection (IC)

VOLUNTARY CUSTOMER FEEDBACK SURVEY: GENERAL INFORMATION AND OUTREACH NEEDS OF SMALL AND VERY SMALL ESTABLISHMENTS
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-web survey Arabic outreach survey with Arabic translation.docx Yes Yes Fillable Fileable
Other-web survey Chinese outreach survey with Chinese translation.docx Yes Yes Fillable Fileable
Other-web survey Spanish outreach survey with Spanish translation 5-15-18.docx Yes Yes Fillable Fileable
Other-web survey Vietnamese outreach survey with Vietnamese translation 5-15-18.docx Yes Yes Fillable Fileable
Other-web survey Outreach Survey_S and VS Plants Final 5-23-18_highlighted.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

4,824 4,824
   
Individuals or Households
 
   94 %

  Approved 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 4,824 0 4,824 0 0 0
Annual IC Time Burden (Hours) 884 0 884 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Clearance Template Small and Very Small Survey OMB Generic Clearance Template small and very small survey 5-23-18.docx 05/23/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.