Safeguards & Security Policy Information Resource 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⚠️ Notice: This information collection may be referencing outdated material.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 1910-5160 can be found here:

Documents and Forms

Document Name Document Type
2015-04-09_PIR Survey Questions_FINAL_v1.docx Other-Survey
2015-04-08_Generic Clearance Submission Template_FINAL_v1.doc Generic Clearance Submission IC Document

Information Collection (IC) Details

IC Title:	Safeguards & Security Policy Information Resource 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
Other-Survey			2015-04-09_PIR Survey Questions_FINAL_v1.docx		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Clearance Submission	2015-04-08_Generic Clearance Submission Template_FINAL_v1.doc	04/10/2015

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