Request for Ethics Records User Survey

Fast Track 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⚠️ Notice: This information collection may be referencing outdated material.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 3209-0010 can be found here:

Documents and Forms

Document Name Document Type
SurveyMonkey Questions.docx www.surveymonkey.com/r/ZD86DNF Other-Survey
Form 201 UX Survey Fast Track IC Justification 2022.docx JUSTIFICATION FOR A GENERIC IC TO EXISTING FAST TRACK ICR OGE FORM 201 REQUEST FOR ETHICS RECORDS USER SURVEY IC Document

Information Collection (IC) Details

IC Title:	Request for Ethics Records User 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			SurveyMonkey Questions.docx	https://www.surveymonkey.com/r/ZD86DNF	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,565	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	1,565	1,565
Annual IC Time Burden (Hours)	52	52
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
JUSTIFICATION FOR A GENERIC IC TO EXISTING FAST TRACK ICR OGE FORM 201 REQUEST FOR ETHICS RECORDS USER SURVEY	Form 201 UX Survey Fast Track IC Justification 2022.docx	08/23/2022

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