ELIS Customer Service Survey

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⚠️ Notice: This information collection may be referencing outdated material.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 1615-0121 can be found here:

Documents and Forms

Document Name Document Type
USCIS_Proposed_ESurvey 20111216.doc www.zzzzzzzzzzzz.com Other-Survey - ELIS Customer Service
Mini_Supporting_Statement_E-Survey 11211(c).docx ELIS Customer Service Survey - Submission Form IC Document

Information Collection (IC) Details

IC Title:	ELIS Customer Service 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 - ELIS Customer Service Survey			USCIS_Proposed_ESurvey 20111216.doc	http://www.zzzzzzzzzzzz.com	Yes	Yes	Fillable Fileable Signable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,600	3,600
Annual IC Time Burden (Hours)	339	339
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ELIS Customer Service Survey - Submission Form	Mini_Supporting_Statement_E-Survey 11211(c).docx	01/12/2012

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