Information Collection

Preclearance Field Office U.S. Domestic Airport Stakeholder Feedback Form

IC 220578 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⚠️ Notice: This information collection may be referencing outdated material.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
Attachment B - Survey HTML.pdf	Other-Survey
Preclearance Survey Fast Track Submission.pdf Fast Track Survey Request	IC Document
Attachment A - List of Targeted Respondents.pdf List of Respondents	IC Document
Attachment B - Survey HTML.pdf Survey	IC Document
Attachment C - Draft Email to Invite Survey Participation.pdf Email invite for survey	IC Document
Attachment D - Draft Email Follow Up to Invite Survey Participation.pdf Follow-up email for survey	IC Document

IC Title:

Preclearance Field Office U.S. Domestic Airport Stakeholder Feedback Form

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			Attachment B - Survey HTML.pdf		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 131

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	131	131
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Survey Request	Preclearance Survey Fast Track Submission.pdf	05/17/2016
List of Respondents	Attachment A - List of Targeted Respondents.pdf	05/17/2016
Survey	Attachment B - Survey HTML.pdf	05/17/2016
Email invite for survey	Attachment C - Draft Email to Invite Survey Participation.pdf	05/17/2016
Follow-up email for survey	Attachment D - Draft Email Follow Up to Invite Survey Participation.pdf	05/17/2016

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