CISOMB Customer Satisfaction and Needs Assessment Survey

ICR 201511-1601-001

OMB: 1601-0021

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Supplementary Document
2016-02-22
Supplementary Document
2015-11-30
Supplementary Document
2015-11-09
Supplementary Document
2015-11-09
Supporting Statement B
2015-11-09
Supporting Statement A
2016-05-19
IC Document Collections
IC ID
Document
Title
Status
218904 New
ICR Details
1601-0021 201511-1601-001
Historical Active
DHS/OS
CISOMB Customer Satisfaction and Needs Assessment Survey
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 05/20/2016
Retrieve Notice of Action (NOA) 03/02/2016
Given the voluntary nature of this survey, the agency will not use information gained to draw statistical inferences on the target population. This approval is granted with the understanding that the agency intends to use the results of the survey (qualitative statements) received to consider how to improve operations and customer service. The information received will not alone be used to justify reallocation of resources or to change policies.
  Inventory as of this Action Requested Previously Approved
05/31/2019 36 Months From Approved
8,800 0 0
4,400 0 0
0 0 0

The information collected on this form will allow the CIS Ombudsman to obtain feedback from the general public to assess the needs of customers to and identify improvement opportunities for Ombudsman services.

PL: Pub.L. 107 - 296 452 Name of Law: Homeland Security Act of 2002
  
None

Not associated with rulemaking

  80 FR 69241 11/09/2015
81 FR 8737 02/22/2016
Yes

1
IC Title Form No. Form Name
Customer Satisfaction Survey DHS-NEW Customer Satisfaction Survey

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 8,800 0 0 8,800 0 0
Annual Time Burden (Hours) 4,400 0 0 4,400 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new collection.

$176,000
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Tyrone Huff 202 447-0106 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/02/2016


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