I & A Cusotmer 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⚠️ Notice: This information collection may be referencing outdated material.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 1601-0014 can be found here:

Documents and Forms

Document Name Document Type
Form DHS Form 6001 (7/1 I & A Cusotmer Survey Form and Instruction
DHS Form 6001 (7/1 I & A Customer Survey I&A Survey.pdf Form and Instruction
I&A Submission Form (01272012).pdf I & A Submission Form IC Document

Information Collection (IC) Details

IC Title:	I & A Cusotmer Survey	Agency IC Tracking Number:

IC Status: Modified

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	DHS Form 6001 (7/10)	I & A Customer Survey	I&A Survey.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Intelligence Operations

Subfunction: Intelligence Collection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 144	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	3,600	3,600
Annual IC Time Burden (Hours)	120	120
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
I & A Submission Form	I&A Submission Form (01272012).pdf	01/26/2012

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