CSR New Chair Orientaion Survey

Generic Clearance for Satisfaction Surveys of Customers (CSR)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0474 can be found here:

Documents and Forms

Document Name Document Type
Form 1 CSR New Chair Orientaion Survey Form and Instruction
1 CSR New Chair Orientation Survey - Screenshots CSR New Chair Orientation Survey Screenshot(2).pdf Form and Instruction
ChairTrainingMemoMAG (2).doc Justification Memo IC Document
ChairTrainingSurveyGeneric Submission FormCSRMAG (2).doc Generic IC Submission Template IC Document

Information Collection (IC) Details

IC Title:	CSR New Chair Orientaion 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
Form and Instruction	1	CSR New Chair Orientation Survey - Screenshots	CSR New Chair Orientation Survey Screenshot(2).pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 90	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	90	0	0	0	0	0
Annual IC Time Burden (Hours)	29	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Justification Memo	ChairTrainingMemoMAG (2).doc	12/18/2013
Generic IC Submission Template	ChairTrainingSurveyGeneric Submission FormCSRMAG (2).doc	12/18/2013

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