FedCASIC 2014 Feedback Survey

DOL Generic Solution for Customer Satisfaction Surveys and Conference Evaluations

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0059 can be found here:

Documents and Forms

Document Name Document Type
FedCASIC 2014 Feedback Survey Form and Instruction
FedCASIC Web Survey Attachment 4 - FedCASIC Web Survey.docx surveymonkey.com Form and Instruction
OMB submission for FedCASIC 2014 feedback survey.docx Supplemental Supporting Statement–FedCASIC 2014 Feedback Survey IC Document
Attachment 1 - Survey Invitation Email.docx Survey Invitation Email IC Document
Attachment 2 - 1st Survey follow-up.docx First Survey Follow-up Email (for non-respondents) IC Document
Attachment 3 - Second Email Follow-up.docx Second Survey Follow-up Email (for non-respondents) IC Document

Information Collection (IC) Details

IC Title:	FedCASIC 2014 Feedback 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
Form and Instruction	NA	FedCASIC Web Survey	Attachment 4 - FedCASIC Web Survey.docx	surveymonkey.com	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

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
Supplemental Supporting Statement–FedCASIC 2014 Feedback Survey	OMB submission for FedCASIC 2014 feedback survey.docx	04/01/2014
Survey Invitation Email	Attachment 1 - Survey Invitation Email.docx	04/01/2014
First Survey Follow-up Email (for non-respondents)	Attachment 2 - 1st Survey follow-up.docx	04/01/2014
Second Survey Follow-up Email (for non-respondents)	Attachment 3 - Second Email Follow-up.docx	04/01/2014

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