Feedback USA Button

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⚠️ Notice: This information collection may be referencing outdated material.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 1615-0121 can be found here:

Documents and Forms

Document Name Document Type
Survey - Feedback on USA Button.docx Other-Survey
Mini-supporting statement - Feedback on USA Button.docx Mini-supporting statement - Feedback USA Button IC Document

Information Collection (IC) Details

IC Title:	Feedback USA Button	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			Survey - Feedback on USA Button.docx		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,900	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4,900	4,900
Annual IC Time Burden (Hours)	98	98
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Mini-supporting statement - Feedback USA Button	Mini-supporting statement - Feedback on USA Button.docx	04/14/2016

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