"haywired: An Economic Disaster?" Evaluation

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⚠️ Notice: This information collection may be referencing outdated material.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 Survey SAFRR workshop evaluation form_11.25.20.docx Other-Costomer Satisfaction Survey
DI-4011 Fast Track Request Form 2019-02 LG.pdf Request for Approval IC Document

Information Collection (IC) Details

IC Title:	"HAYWIRED: AN ECONOMIC DISASTER?" EVALUATION	Agency IC Tracking Number:	2020-USGS-FT115

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-Costomer Satisfaction Survey			USGS Survey SAFRR workshop evaluation form_11.25.20.docx		Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Preparedness and Planning

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	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	20	20
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	DI-4011 Fast Track Request Form 2019-02 LG.pdf	12/10/2020

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