TSA Product Feedback 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⚠️ Notice: This information collection may be referencing outdated material.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 1652-0058 can be found here:

Documents and Forms

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

Information Collection (IC) Details

IC Title:	TSA Product Feedback Survey	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	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 %

	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

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.