Event Participant Evaluation Form

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⚠️ Notice: This information collection may be referencing outdated material.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 0690-0030 can be found here:

Documents and Forms

Document Name Document Type
Event Participant Evaluation Form Form
Event Participant Evaluation Form eval_questionnaire.pdf Form
FAST TRACK request - Generic Clearance for the Collection of Routine Customer Feedback.docx Fast Track Submission Request Form IC Document

Information Collection (IC) Details

IC Title:	Event Participant Evaluation Form	Agency IC Tracking Number:	Census

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	NA	Event Participant Evaluation Form	eval_questionnaire.pdf		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: 12,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12,000	12,000
Annual IC Time Burden (Hours)	600	600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Submission Request Form	FAST TRACK request - Generic Clearance for the Collection of Routine Customer Feedback.docx	08/02/2017

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