Acceptance Facility Oversight Customer Service 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⚠️ Notice: This information collection may be referencing outdated material.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 1405-0193 can be found here:

Documents and Forms

Document Name Document Type
AFO_Customer_Service_Survey_SV-2019-0001.pdf Other-Survey: SV-2019-0001
Request form_AFO survey_2019.doc Generic Clearance Submission:SV-2019-0001 IC Document

Information Collection (IC) Details

IC Title:	Acceptance Facility Oversight Customer Service 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-Survey: SV-2019-0001			AFO_Customer_Service_Survey_SV-2019-0001.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: 410	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	410	410
Annual IC Time Burden (Hours)	34	34
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Clearance Submission:SV-2019-0001	Request form_AFO survey_2019.doc	05/22/2019

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