Chicago Model FO Employee Feedback Survey and Visitor 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⚠️ Notice: This information collection may be referencing outdated material.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 Chicago Model FO Employee and Vistor Feedback Survey.docx Other-Survey Documentation
Description to Chicago Model FO Employee and Vistor Feedback Survey.docx Description to Chicago Model FO Employee and Vistor Feedback Survey IC Document

Information Collection (IC) Details

IC Title:	Chicago Model FO Employee Feedback Survey and Visitor Feedback Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Documentation			Survey Chicago Model FO Employee and Vistor Feedback Survey.docx		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,040	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	10,040	10,040
Annual IC Time Burden (Hours)	837	837
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Description to Chicago Model FO Employee and Vistor Feedback Survey	Description to Chicago Model FO Employee and Vistor Feedback Survey.docx	11/02/2017

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