02_Format A- FHEO Filing a Complaint (Intercept Survey)

Improving Customer Experience (OMB Circular A–11, Section 280)

02_Format A- FHEO Filing a Complaint (Intercept Survey)

OMB: 2511-0001

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We want to better understand your experience as it relates to the
discrimination complaint process.
The survey takes 5 minutes to complete.
Please contact CX@hud.gov with any questions or concerns. This
email is to support Customer Experience Feedback only. This
mailbox is not for future use or customer support. For direct
customer support not related to customer experience feedback,
please contact HUD customer service.
service.
OMB Control Number:2511-0001
Number:2511-0001
Expiration Date:09/30/2024
Date:09/30/2024
According to the Paperwork Reduction Act of 1995, no persons are required to
respond to a collection of information unless such collection displays a valid OMB
control number. The time required to complete this information collection is
estimated to average 5 minutes. All responses to this collection of information are
voluntary. If you have comments or concerns regarding this collection, please
contact CX@hud.gov

 Required

I would describe myself primarily as:
Property Resident/Renter
Private Attorney or Lawyer
Other Fair Housing or Civil Rights Professional
Other

 Required

How did you find out about the FHEO discrimination complaint
process?
Website search
Landlord recommendation
Lawyer recommended
HUD employee
Other

 Required

I trust HUD to address housing discrimination.
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree

How would you rate your experience filing a complaint?










It took a reasonable amount of time to do what I needed to do:
Strongly Disagree
Disagree
Neither agree nor disagree
Agree
Strongly Agree

 Required

It was easy for me to complete.
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree

 Required

The form provided me the opportunity to convey my discrimination
case. 
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree

I understand what was being asked of me throughout the
complaint process.
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree

How can we improve your experience? (optional)

Finish


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