FHEO Filing a Complaint Case Completed Survey

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2511-0001 can be found here:

Documents and Forms

Document Name Document Type
04_Format A - Case Completed Survey.pdf Other-Survey
04_Format A - Case Completed Survey.pdf Other-Survey
04_Format B - Case Completed Survey - Satisfaction (4-5).pdf Other-Survey
04_Format B - Case Completed Survey - Satisfaction (4-5).pdf Other-Survey
04_Format B- Case Completed Survey- Satisfaction (1-3).pdf Other-Survey
04_Format B- Case Completed Survey- Satisfaction (1-3).pdf Other-Survey
04_ICR_FHEO Filing a Complaint Case Completed.docx FHEO Filing Survey Completed Case IC Document
04_ICR_FHEO Filing a Complaint Case Completed.docx FHEO Filing Survey Completed Case IC Document

Information Collection (IC) Details

IC Title:	FHEO Filing a Complaint Case Completed Survey	Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	04_Format A - Case Completed Survey.pdf	Yes	Yes	Fillable Printable
Other-Survey	04_Format B - Case Completed Survey - Satisfaction (4-5).pdf	Yes	Yes	Fillable Printable
Other-Survey	04_Format B- Case Completed Survey- Satisfaction (1-3).pdf	Yes	Yes	Fillable Printable

Line of Business: Community and Social Services

Subfunction: Community and Regional Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,800	Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	1,800	1,800
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
FHEO Filing Survey Completed Case	04_ICR_FHEO Filing a Complaint Case Completed.docx	04/19/2023

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