Fiscal Year (FY) 2016 Customer Satisifaction Surveys

Generic Clearance of Customer Satisfaction Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0526 can be found here:

Documents and Forms

Document Name Document Type
DICRC Initial Claims Report Card Questionnaire.doc Other-DICRC Survey Questionnaire
FY16 DICRC Survey Correspondence (3).docx Other-DICRC Survey Correspondence
Description FY 2016 National 800 Number Caller Survey(revised).docx Other-800 Number Caller Survey
FY 2016 800 Number Survey Questionnaire(revised).docx Other-800 Number Survey Questionnair
FY16 Retirement Applicant Survey Correspondence.docx Other-Retirement Applicant Survey Co
FY16 Retirement Applicant Survey Questionnaire.docx Other-Retirement Applicant Survey Qu
FY16 OVS Survey Correspondence for Field and Hearing Offices and for SSN Card Center.docx Other-OVS Survey Correspondence
FY16 OVS Survey Questionnaires.docx Other-OVS Survey Questionnaire
DICRC documentation.docx DICRC Documentation for GC of Customer Satisfaction Surveys IC Document
DICRC Initial Claims Report Card Questionnaire.doc DICRC Survey Questionnaire IC Document
FY16 DICRC Survey Correspondence (3).docx DICRC Survey Coorespondence IC Document
FY 2016 Retirement Applicant Survey Documentation.docx Retirement Application Survey Documenation for GC of Customer Satisfaction Surveys IC Document
FY 2016 Office Visitor Survey Documenation.docx Offce Visitor Survey Documenation for GC Customer Satisfaction Surveys IC Document
FY 2016 National 800 Number Caller Survey Documentation.docx 800 Number Caller Survey Documentation IC Document

Information Collection (IC) Details

IC Title:	Fiscal Year (FY) 2016 Customer Satisifaction Surveys	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-DICRC Survey Questionnaire	DICRC Initial Claims Report Card Questionnaire.doc	No	Paper Only
Other-DICRC Survey Correspondence	FY16 DICRC Survey Correspondence (3).docx	No	Paper Only
Other-800 Number Caller Survey	Description FY 2016 National 800 Number Caller Survey(revised).docx	No	Paper Only
Other-800 Number Survey Questionnaire	FY 2016 800 Number Survey Questionnaire(revised).docx	No	Paper Only
Other-Retirement Applicant Survey Correspondence	FY16 Retirement Applicant Survey Correspondence.docx	No	Paper Only
Other-Retirement Applicant Survey Questionnaire	FY16 Retirement Applicant Survey Questionnaire.docx	No	Paper Only
Other-OVS Survey Correspondence	FY16 OVS Survey Correspondence for Field and Hearing Offices and for SSN Card Center.docx	No	Paper Only
Other-OVS Survey Questionnaire	FY16 OVS Survey Questionnaires.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: 54,890	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	54,890	54,890
Annual IC Time Burden (Hours)	7,741	7,741
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
DICRC Documentation for GC of Customer Satisfaction Surveys	DICRC documentation.docx	08/17/2015
DICRC Survey Questionnaire	DICRC Initial Claims Report Card Questionnaire.doc	08/17/2015
DICRC Survey Coorespondence	FY16 DICRC Survey Correspondence (3).docx	08/17/2015
Retirement Application Survey Documenation for GC of Customer Satisfaction Surveys	FY 2016 Retirement Applicant Survey Documentation.docx	10/14/2015
Offce Visitor Survey Documenation for GC Customer Satisfaction Surveys	FY 2016 Office Visitor Survey Documenation.docx	10/14/2015
800 Number Caller Survey Documentation	FY 2016 National 800 Number Caller Survey Documentation.docx	10/16/2015

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