View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	WHS Customer Experience Survey	Agency IC Tracking Number:

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
Other-Survey			OMB 0704-0553 Customer Satisfaction Survey WHS Online Survey 10052023.docx		Yes	Yes	Fillable Fileable
Other-Supporting Document			WHS survey drop down options.xlsx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 365	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	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	730	0	730	0	0	0
Annual IC Time Burden (Hours)	122	0	122	0	0	0
Annual IC Cost Burden (Dollars)	876	0	876	0	0	0

Documents for IC

Title	Document	Date Uploaded
WHS Customer Satisfaction Survey_OnePager	WHS Customer Experience Survey_One-Pager.docx	10/12/2023

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