2016 EIA Web Customer 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⚠️ Notice: This information collection may be referencing outdated material.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 1905-0210 can be found here:

Documents and Forms

Document Name Document Type
Form 2016 EIA Web Custo 2016 EIA Web Customer Survey Form
2016 EIA Web Custo 2016 EIA Web Customer Survey 2016 EIA Web Customer Survey Questions.docx Form
2016 EIA Web Customer Survey Generic Clearance Template.docx 2016 EIA Web Customer Survey Generic Template Summary IC Document

Information Collection (IC) Details

IC Title:	2016 EIA Web Customer 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	2016 EIA Web Customer Survey	2016 EIA Web Customer Survey	2016 EIA Web Customer Survey Questions.docx		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,500	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,500	2,500
Annual IC Time Burden (Hours)	167	167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
2016 EIA Web Customer Survey Generic Template Summary	2016 EIA Web Customer Survey Generic Clearance Template.docx	08/05/2016

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