Merit Review Orientation Video Feedback 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⚠️ Notice: This information collection may be referencing outdated material.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
Merit Review Video Feedback Questionnaire Survey 2018.pdf Other-Customer Satisfaction Survey
Generic Clearance Submission Template (Rissi, Erika Johnson).docx Supporting Statement for Merit Review Orientation Video Feedback Survey IC Document

Information Collection (IC) Details

IC Title:	Merit Review Orientation Video 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
Other-Customer Satisfaction Survey			Merit Review Video Feedback Questionnaire Survey 2018.pdf		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Higher Education

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	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	250	250
Annual IC Time Burden (Hours)	21	21
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement for Merit Review Orientation Video Feedback Survey	Generic Clearance Submission Template (Rissi, Erika Johnson).docx	08/16/2018

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