2019 041 PBGC Participant Caller Customer Satisfaction Survey

American Customer Satisfaction Index "Customer Satisfaction Surveys"

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0007 can be found here:

Documents and Forms

Document Name Document Type
Form 041 2019 041 PBGC Participant Caller Customer Satisfaction Survey Form and Instruction
041 PBGC Participant Caller Customer Satisfaction Questionnaire PBGC Participants FY 2019 To OMB (1).docx Form and Instruction
Generic Clearance Request Form_signed.pdf 041 PBGC Generic Clearance Request Form IC Document
OMB Mapping Cover_2019 PBGC Participants.xlsx 041 PBGC OMB Mapping IC Document

Information Collection (IC) Details

IC Title:	2019 041 PBGC Participant Caller Customer Satisfaction Survey	Agency IC Tracking Number:	042

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 and Instruction	041	PBGC Participant Caller Customer Satisfaction	Questionnaire PBGC Participants FY 2019 To OMB (1).docx		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 250	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	250	250
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
041 PBGC Generic Clearance Request Form	Generic Clearance Request Form_signed.pdf	01/14/2019
041 PBGC OMB Mapping	OMB Mapping Cover_2019 PBGC Participants.xlsx	01/14/2019

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