Office of Insular Affairs Partner and Stakeholder Survey

DOI Programmatic Clearance for Customer Satisfaction Surveys

Documents and Forms

Document Name Document Type
Department of the Interior Office of Insular Affair's Satisfaction Survey_Survey Instrament.pdf Other-Survey Tool
Survey Correspondence #1.docx Other-Correspondence #1
Survey Correspondence #2.docx Other-Correspondence #2
Survey Correspondence #3.docx Other-Correspondence #3
DI-4010 Generic Clearance Request Form updated 01-17-2024_Final.pdf Justification for Submission IC Document

Information Collection (IC) Details

IC Title:	Office of Insular Affairs Partner and Stakeholder Survey	Agency IC Tracking Number:	2025-OS-CS1

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Tool	Department of the Interior Office of Insular Affair's Satisfaction Survey_Survey Instrament.pdf	Yes	Yes	Fillable Fileable
Other-Correspondence #1	Survey Correspondence #1.docx	Yes	Yes	Fillable Fileable
Other-Correspondence #2	Survey Correspondence #2.docx	Yes	Yes	Fillable Fileable
Other-Correspondence #3	Survey Correspondence #3.docx	Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification for Submission	DI-4010 Generic Clearance Request Form updated 01-17-2024_Final.pdf	09/02/2025

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