Information Collection

TSA Product Feedback Survey

IC 216423 under ICR 201303-1652-001 · OMB 1652-0058.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1652-0058 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form TSA Form 1303 TSA Product Feedback Survey	Form and Instruction
TSA Form 1303 TSA Product Feedback Survey 1652-0058 GC_TSAProductFeedback_Survey.pdf	Form and Instruction
1652-0058 GC_TSAProductFeedback_Appln.docx 1652-0058 GC_TSAProductFeedback_Appln	IC Document

IC Title:

TSA Product Feedback 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	TSA Form 1303	TSA Product Feedback Survey	1652-0058 GC_TSAProductFeedback_Survey.pdf		Yes	Yes	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: DHS/TSA 006

FR Citation: 75 FR 18863

Number of Respondents: 333

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	333	333
Annual IC Time Burden (Hours)	28	28
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
1652-0058 GC_TSAProductFeedback_Appln	1652-0058 GC_TSAProductFeedback_Appln.docx	05/05/2015

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