DOE Office of Legacy Management Stakeholder Satisfaction Survey

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

Documents and Forms

Document Name Document Type
DOE LM Stakeholder Survey.docx Other-Survey
Generic Clearance Submission_DOE_LM_Stakeholder Survey.docx Generic Clearance Submission_DOE_LM_Stakeholder Survey IC Document

Information Collection (IC) Details

IC Title:	DOE Office of Legacy Management Stakeholder Satisfaction 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			DOE LM Stakeholder Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 750	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	750	750
Annual IC Time Burden (Hours)	188	188
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Clearance Submission_DOE_LM_Stakeholder Survey	Generic Clearance Submission_DOE_LM_Stakeholder Survey.docx	08/31/2021

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