Information Collection

Customer Survey

IC 233980 under ICR 201811-1670-001 · OMB 1670-0039.

Documents and Forms

Document Name Document Type
Customer Survey Form and Instruction
Customer Survey 1670-NEW_Soft Targets_Customer Survey_clean_5-2-2019.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Customer Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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 and Instruction	n/a	Customer Survey	1670-NEW_Soft Targets_Customer Survey_clean_5-2-2019.docx		Yes	No	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	667	667
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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