Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form TSA Form 1303 TSA Product Feedback Survey	Form and Instruction	New	Repair queued
Customer Service Evaluation for the Transportation Security Administration's Aviation Channeling Service Provider Program	Form and Instruction	New	Available
TSA Generic Clearance Supporting Statement.docx	Supporting Statement A	Uploaded 2013-03-05	Available
TSA Generic SS Part B.doc	Supporting Statement B	Uploaded 2013-03-05	Available
Generic Clearance 30DY (77 FR 42752).pdf	Supplementary Document	Uploaded 2012-08-27	Available
Generic Clearance 60DY (77 FR 28893).pdf	Supplementary Document	Uploaded 2012-08-27	Available
Executive Order 12862.pdf	Supplementary Document	Uploaded 2012-08-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
216423	TSA Product Feedback Survey	Form and Instruction	New
213981	Air Cargo Management Systems User Survey	Other-Survey	New
208121	Customer Service Evaluation for the Transportation Security Administration's Aviation Channeling Service Provider Program	Form and Instruction	New

ICR Details

OMB Control No: 1652-0058	ICR Reference No: 201303-1652-001
Status: Historical Active	Previous ICR Reference No: 201208-1652-003
Agency/Subagency: DHS/TSA	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/03/2013
	Date Received in OIRA: 03/07/2013
Terms of Clearance: OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2016	36 Months From Approved
Responses	94,500	0	0
Time Burden (Hours)	33,450	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The proposed information collection activity provides a means to gather qualitative customer and stakeholder feedback in an efficient, timely manner, in accordance with the Administration's commitment to improving service delivery.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 28893	05/16/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 42752	07/20/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
TSA Product Feedback Survey	TSA Form 1303	TSA Product Feedback Survey
Air Cargo Management Systems User Survey
Customer Service Evaluation for the Transportation Security Administration's Aviation Channeling Service Provider Program	NA	Customer Service Questionnaire, TSA Aviation Channeling Service Provider Project

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	94,500	0	0	0	94,500	0
Annual Time Burden (Hours)	33,450	0	0	0	33,450	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a request for a new Generic Collection.

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Annual Cost to Federal Government: $20,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/07/2013

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