Social Security Express Tablet Satisfaction 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⚠️ Notice: This information collection may be referencing outdated material.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
Social Security Express Tablet - Public Survey.pdf Other-Satisfaction Survey
Social Security Express Tablet Customer Satisfaction Survey - Documentation.docx Social Security Express Tablet Survey Documenation IC Document

Information Collection (IC) Details

IC Title:	Social Security Express Tablet Satisfaction 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
Other-Satisfaction Survey			Social Security Express Tablet - Public Survey.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	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	500	500
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Social Security Express Tablet Survey Documenation	Social Security Express Tablet Customer Satisfaction Survey - Documentation.docx	12/10/2015

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