Information Collection

Premier Acceptance Facility Survey

IC 210887 under ICR 201202-1405-005 · OMB 1405-0193.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0193 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SV-2014-0001 Premier Acceptance Facility Survey	Form and Instruction
SV-2014-0001 Premier Acceptance Facility Survey Premier Acceptance Facility Survey (3-25-14).docx	Form and Instruction
Generic Clearance Submission Template.pdf Generic Clearance Submission Template	IC Document

IC Title:

Premier Acceptance Facility Survey

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SV-2014-0001	Premier Acceptance Facility Survey	Premier Acceptance Facility Survey (3-25-14).docx		No		Paper Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 16,551

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	16,551	16,551
Annual IC Time Burden (Hours)	828	828
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearance Submission Template	Generic Clearance Submission Template.pdf	03/24/2014

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