Reimbursable Services Program Stakeholder Feedback Survey

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

Reimbursable Services Program Stakeholder Feedback Form - Screenshots

Reimbursable Services Program Stakeholder Feedback Survey

OMB: 1651-0136

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Reimbursable Services Program Stakeholder Feedback Form



Log In Page:











Program Utilization:









Program Satisfaction Questions:









Program Satisfaction Questions (Continued):







Program Satisfaction Questions (Continued):





Program Impact Questions:





Port Type Selection:

The user will then only see questions pertaining to the selected port type.







Air Port of Entry Questions:











Air Port of Entry Questions (Continued):





Air Port of Entry Questions (Continued):







Land Port of Entry Questions:





Land Port of Entry Questions (Continued):





Land Port of Entry Questions (Continued):





Sea Port of Entry Questions:



Sea Port of Entry Questions (Continued):







Concluding Comments from Stakeholders:







Thank You Page:







File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorLIPARI, ANTHONY R. (CTR)
File Modified0000-00-00
File Created2021-01-26

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