Information Collection

Model Ports Customer Satisfaction Survey

IC 214110 under ICR 201409-1651-006 · OMB 1651-0136.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1651-0136 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Model Ports Traveler Satisfaction Survey Instrument.doc	Other-Survey
Model Ports Traveler Satisfaction Survey Submission Form.docx Model Ports Traveler Satisfaction Survey Submission Form	IC Document

IC Title:

Model Ports Customer Satisfaction 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
Other-Survey			Model Ports Traveler Satisfaction Survey Instrument.doc		No		Paper Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25,000	25,000
Annual IC Time Burden (Hours)	2,083	2,083
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Model Ports Traveler Satisfaction Survey Submission Form	Model Ports Traveler Satisfaction Survey Submission Form.docx	12/03/2014

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