OMBudsman Awareness and Effectiveness Survey

Information Collection for Qualitative Research

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3064-0198 can be found here:

Documents and Forms

Document Name Document Type
2017 Survey Questions.docx Other-Survey questions
Justification MM - Ombudsman Awareness and Effectiveness Survey.docx Justification Memo - Ombudsman Survey IC Document

Information Collection (IC) Details

IC Title:	Ombudsman Awareness and Effectiveness 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
Other-Survey questions			2017 Survey Questions.docx		Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Financial Sector Oversight

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 480	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	480	480
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification Memo - Ombudsman Survey	Justification MM - Ombudsman Awareness and Effectiveness Survey.docx	01/26/2017

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