Feedback from USGS Email Customers

DOI 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⚠️ Notice: This information collection may be referencing outdated material.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 1090-0011 can be found here:

Documents and Forms

Document Name Document Type
USGS FT-13 Email Customer Feedback Renewal.pdf Other-Customer Comment Form
USGS FT-13 DI-4011 USGS Email Customer Feedback.pdf Request for Approval IC Document

Information Collection (IC) Details

IC Title:	Feedback from USGS Email Customers	Agency IC Tracking Number:	2018-USGS-FT51

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 Comment Form			USGS FT-13 Email Customer Feedback Renewal.pdf		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	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	1,500	1,500
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	USGS FT-13 DI-4011 USGS Email Customer Feedback.pdf	10/31/2018

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