View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	EEOICPA Customer Satisfaction Survey	Agency IC Tracking Number:	DEEOIC 10-01

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 Instrument			DEEOIC Customer Sat questionnaire , 12.16b.doc		No		Paper Only
Other-Cover Letter			DEEOIC Survey cover letter with DEEOIC updated 4JAN10.doc		No		Paper Only
Other-Follow-up Postcard			DEEOIC Cust. Sat. Survey Follow-up Postcard 9.17.doc		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	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	1,000	0	1,000	0	0	0
Annual IC Time Burden (Hours)	167	0	167	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
BLS Approval	DEEOIC_Survey-BLS_Review.PDF	01/04/2010
Supporting Statement	1225-0059-Vs3 0-FORMS(2003) BLS review A&B, 01-04-10.doc	01/04/2010

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