FSA-441C APFO Service Quality Survey

Request for Aerial Photography

FSA0441C_18xxxxV01 proposal 2

Request for Aerial Photography

OMB: 0560-0176

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United States Department of Agriculture


This form is available electronically. Form Approved - OMB No. 0560-0176

FSA-441C

(proposal 2)





Farm Service Agency

Aerial Photography Field Office



APFO SERVICE QUALITY SURVEY



Paperwork Reduction Act Statement: According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0560-0176. The time required to complete this information collection is estimated to average five (5) minutes per response. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: USDA-FSA Aerial Photography Field Office, Attn: Customer Service Supervisor, 125 South State Street Suite 6416, Salt Lake City, Utah 84138-1102.

Aerial Photography Field Office

125 South State Street Suite 6416

Salt Lake City, Utah

USA

84138-1102

Phone: 801-844-2922

Fax: 855-415-2014

http://www.apfo.usda.gov


Dear Valued Customer:


As part of our ongoing effort to improve our service, I invite you to participate in this Service Quality Survey.


We hope your recent experience has been a good one, but whether your opinion is positive or negative, we’d like to hear from you. Your opinion is extremely important to us.


If it would be more appropriate for another person to complete this survey, please pass it along to them. Responses can be submitted on site, faxed to (801) 956-3653 (Attention: Customer Service Supervisor), or online at http://www.surveymonkey.com/s/fsa_441c_apfo_service_quality (preferred method). You may also complete, save, and email this form directly to apfo.sales@slc.usda.gov or by visiting http://www.apfo.usda.gov and then click the “Forms” tab then the survey link after opening the document.


Sincerely,


     


Customer Service Section Supervisor


COMPLETE SURVEY

1. The Aerial Imagery Specialist helping me was:

2. Order Number (If available)

3. Email Address

     

     

     

4. As for Customer Service, I am treated with courteous/tactful behavior with timely and accurate products/service in a positive professional manner.


Always Usually Seldom

5. Information or Communications are clear, correct, timely and presented in an understandable manner.


Always Usually Seldom

6. My time spent researching or requesting help was time well spent as I received the product without requiring revisions.


Always Usually Seldom

7. Comments

     

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.


Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.


To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov. USDA is an equal opportunity provider, employer, and lender.

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleThis form is available electronically
Authoranita.crowell
File Modified0000-00-00
File Created2021-01-21

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