Student and Exchange Visitor Program (SEVP) / Field Representative (FR) Feedback Form

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⚠️ Notice: This information collection may be referencing outdated material.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 1653-0050 can be found here:

Documents and Forms

Document Name Document Type
Form 1653-0050 Student and Exchange Visitor Program (SEVP) / Field Representative (FR) Feedback Form Form and Instruction
1653-0050 Student and Exchange Visitor Program (SEVP) / Field Repr ICE Form SEVP OCT2012.pdf Form and Instruction
ICE Form SEVP OCT2012 Submission Template.pdf ICE Form SEVP OCT2012 Submission Template IC Document

Information Collection (IC) Details

IC Title:	Student and Exchange Visitor Program (SEVP) / Field Representative (FR) Feedback Form	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
Form and Instruction	1653-0050	Student and Exchange Visitor Program (SEVP) / Field Representative (FR) Feedback Form	ICE Form SEVP OCT2012.pdf		Yes	Yes	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,300	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	6,300	6,300
Annual IC Time Burden (Hours)	1,575	1,575
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ICE Form SEVP OCT2012 Submission Template	ICE Form SEVP OCT2012 Submission Template.pdf	12/19/2012

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