Information Collection

Stakeholder Survey for Qualitative Feedback on Agency Service Delivery

IC 276121 under ICR 202506-3076-001 · OMB 3076-0017.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3076-0017 can be found here:

Documents and Forms

Document Name Document Type
SURVEY QUESTIONS-2025-JD.docx Other-Survey Questionnaire
SURVEY QUESTIONS-2025-JD.docx Other-Survey Questionnaire

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Stakeholder Survey for Qualitative Feedback on Agency Service Delivery	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 29 CFR 1403.2

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Questionnaire			SURVEY QUESTIONS-2025-JD.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Labor Rights Management

Privacy Act System of Records
Title: Survey SORN	FR Citation: 87 FR 32416

Number of Respondents: 182	Number of Respondents for Small Entity: 55

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	182	182
Annual IC Time Burden (Hours)	9	9
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.

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