Form NRC Form 787 NRC Form 787 Freedom of Information Act user survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

NRC 787 FOIA Feedback form

FOIA user survey, Public meeting feedback form, Public Document Room satisfaction survey, Alternate Dispute Resolution participant feedback form

OMB: 3150-0217

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U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NO. 3150-0217

NRC FORM 787
(MM-YYYY)

FREEDOM OF INFORMATION ACT USER SURVEY

EXPIRES: (MM/DD/YYYY)

Estimated burden per response to comply with this voluntary information collection: 3 minutes. This
information will be used to assess the responsiveness of the NRC's FOlA Program and its staff's
interaction with the public. Send comments regarding burden estimate to the FOIA, Privacy, and
Information Collections Branch (T-5 F53), U. S. Nuclear Regulatory Commission, Washington,
DC20555-0001, or by internet e-mail to Infocollects.Resource@nrc.gov, and to the Desk Officer, Office
of Information and Regulatory Affairs, NEOB-10202, (3150-0197), Office of Management and Budget,
Washington, DC 20503. If a means used to impose an information collection does not display a
currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required
to respond to, the information collection.

The U.S. Nuclear Regulatory Commission (NRC) is asking each FOlA requester to take a few moments
to answer the following questions. Your candid response to this survey is important to us in
determining user satisfaction and how we can improve our service to the public.
STRONGLY
AGREE

1. The NRC FOlA staff was:
Informative / Knowledgeable
Courteous / Helpful

2. The NRC's response to your request
Timely

Courteous / Helpful

3. I am a satisfied customer.

FOIA Request Number (Optional):
Use this space to provide any additional comments:

NRC FORM 787 (MM-YYYY)

SOMEWHAT
AGREE

SOMEWHAT
DISAGREE

STRONGLY
DISAGREE

NOT
APPLICABLE

UNITED STATES
NUCLEAR REGULATORY COMMISSION
WASHINGTON DC 20555-0001

NO POSTAGE
NECESSARY
IF MAILED
IN THE
UNITED STATES

OFFICIAL BUSINESS

FIRST CLASS MAIL

BUSINESS REPLY MAIL
PERMIT NO. 12904

WASHINGTON DC

POSTAGE WILL BE PAID BY U.S. NUCLEAR REGULATORY COMMISSION

FOIA/PA OFFICE
MAIL STOP T-5 F09
OFFICE OF INFORMATION SERVICES
UNITED STATES NUCLEAR REGULATORY COMMISSION
11555 ROCKVILLE PIKE
ROCKVILLE MD 20852-9814


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