Center for Polar Medical Operations Physical Qualifications Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3145-0215 can be found here:

Documents and Forms

Document Name Document Type
CPMO PQ Survey.pdf Other-Customer Satisfaction Survey
Post PQ Customer Feedback Survey v1.docx Supporting Statement for Center for Polar Medical Operations Physical Qualifications Survey IC Document
Demo Email Notification.pdf Email to respondents IC Document

Information Collection (IC) Details

IC Title:	Center for Polar Medical Operations Physical Qualifications Survey	Agency IC Tracking Number:

IC Status: Removed

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-Customer Satisfaction Survey			CPMO PQ Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-2,400	2,400
Annual IC Time Burden (Hours)	-200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement for Center for Polar Medical Operations Physical Qualifications Survey	Post PQ Customer Feedback Survey v1.docx	05/21/2013
Email to respondents	Demo Email Notification.pdf	05/21/2013

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