Customer Satisfaction Surevys - E-mail Services and On-line Ordering

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0650 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Customer Satisfaction Surevys - E-mail Services and On-line Ordering Form
1 E-mail Services NIMH E-mail Service Customer Satisfaction survey script 7 19 2012 Final.doc Form
2 On-line Ordering Survey NIMH Publication Ordering Service Customer Satisfaction Survey script 7 19 2012 Final.doc Form
NIMH Customer Satisfaction Survey-E-mail Service-FS OMB 7 17 12 Final.doc Justification for E-mail Services Collection IC Document
NIMH Publication Ordering Service Customer Satisfaction Survey script 7 19 2012 Final.doc Justification for On-line Ordering Collection IC Document

Information Collection (IC) Details

IC Title:	Customer Satisfaction Surevys - E-mail Services and On-line Ordering	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	1	E-mail Services	NIMH E-mail Service Customer Satisfaction survey script 7 19 2012 Final.doc		Yes	Yes	Fillable Printable
Form	2	On-line Ordering Survey	NIMH Publication Ordering Service Customer Satisfaction Survey script 7 19 2012 Final.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,700	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	1,700	0	0	0	0	0
Annual IC Time Burden (Hours)	142	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Justification for E-mail Services Collection	NIMH Customer Satisfaction Survey-E-mail Service-FS OMB 7 17 12 Final.doc	07/24/2012
Justification for On-line Ordering Collection	NIMH Publication Ordering Service Customer Satisfaction Survey script 7 19 2012 Final.doc	07/24/2012

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