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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
NCSC Telephone Survey (rev).docx Other-Survey
Supporting statement -NCSC (rev).docx Supporting Statement-NCSC IC Document
PIA-DHS-ALL-PIA-006.pdf Privacy Impact Assessment IC Document
SORN -DHS-ALL-002.pdf System of Records Notice IC Document

Information Collection (IC) Details

IC Title:	NCSC Telephone 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			NCSC Telephone Survey (rev).docx		No		Paper Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,440	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	4,440	4,440
Annual IC Time Burden (Hours)	888	888
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement-NCSC	Supporting statement -NCSC (rev).docx	01/06/2017
Privacy Impact Assessment	PIA-DHS-ALL-PIA-006.pdf	01/06/2017
System of Records Notice	SORN -DHS-ALL-002.pdf	01/06/2017

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