Customer Satisfaction Survey - eServices Kiosks

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⚠️ Notice: This information collection may be referencing outdated material.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 Insturment - eServices Kiosk Customer Satisfaction Survey.docx.doc Other-Survey
Template - eServices Kiosk Customer Satisfaction Survey.docx Template Fast Track - eServices Kiosk Customer Satisfaction Survey IC Document

Information Collection (IC) Details

IC Title:	Customer Satisfaction Survey - eServices Kiosks	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 Insturment - eServices Kiosk Customer Satisfaction Survey.docx.doc		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 530	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 94 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	530	530
Annual IC Time Burden (Hours)	44	44
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Template Fast Track - eServices Kiosk Customer Satisfaction Survey	Template - eServices Kiosk Customer Satisfaction Survey.docx	01/02/2014

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