Two Customer Satisfaction Surveys - Field Office Comment Card and CSS Intercepts

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⚠️ Notice: This information collection may be referencing outdated material.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 Instrument FO Comment Card SSA-117-PC.pdf Other-survey
Survey Instrument CSS intercept questions.doc Other-survey
Template Field Office Customer Comment Card SSA-117.docx Template Description Field Office Customer Comment Card IC Document
Template Survey Description CSS Intercepts.docx Template Description CSS Intercepts IC Document

Information Collection (IC) Details

IC Title:	Two Customer Satisfaction Surveys - Field Office Comment Card and CSS Intercepts	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			Survey Instrument FO Comment Card SSA-117-PC.pdf		No		Paper Only
Other-survey			Survey Instrument CSS intercept questions.doc		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 72,845	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	72,845	72,845
Annual IC Time Burden (Hours)	6,076	6,076
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Template Description Field Office Customer Comment Card	Template Field Office Customer Comment Card SSA-117.docx	09/24/2014
Template Description CSS Intercepts	Template Survey Description CSS Intercepts.docx	09/24/2014

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