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Chicago Model FO Employee Feedback Survey and Visitor Feedback Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Fast Track)
OMB: 0960-0788
IC ID: 228823
OMB.report
SSA
OMB 0960-0788
ICR 201907-0960-006
IC 228823
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0788 can be found here:
2023-10-05 - Revision of a currently approved collection
2020-09-11 - Revision of a currently approved collection
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
View Information Collection (IC)
IC Title:
Chicago Model FO Employee Feedback Survey and Visitor Feedback Survey
Agency IC Tracking Number:
IC Status:
Unchanged
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
Federal Enterprise Architecture Business Reference Module
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 %
Requested
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
10,040
0
0
0
0
10,040
Annual IC Time Burden (Hours)
837
0
0
0
0
837
Annual IC Cost Burden (Dollars)
0
0
0
0
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.