Two Customer Satisfaction Surveys - Disability Awarness Campaign Media Survey and Disability Program Feedback Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Fast Track)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0788 can be found here:

Documents and Forms

Document Name Document Type
Survey Insturment Media 1.pdf Other-Survey
Survey Instrument Media 2.pdf Other-Survey
Survey Instrument Disability Program Feedback Survey.pdf Other-Survey
Template Survey Disability Program Feedback Survey.docx Template - Disability Program Feedback Survey IC Document
OMB Template - Disability Awareness Media Products Survey.docx Disability Awareness Media Survey IC Document

Information Collection (IC) Details

IC Title:	Two Customer Satisfaction Surveys - Disability Awarness Campaign Media Survey and Disability Program Feedback Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	Survey Insturment Media 1.pdf	Yes	Yes	Fillable Fileable
Other-Survey	Survey Instrument Media 2.pdf	Yes	Yes	Fillable Fileable
Other-Survey	Survey Instrument Disability Program Feedback Survey.pdf	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 45,000	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	45,000	45,000
Annual IC Time Burden (Hours)	944	944
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Template - Disability Program Feedback Survey	Template Survey Disability Program Feedback Survey.docx	02/03/2014
Disability Awareness Media Survey	OMB Template - Disability Awareness Media Products Survey.docx	02/03/2014

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