Information Collection

Customer Satisfaction Survey

IC 218904 under ICR 201511-1601-001 · OMB 1601-0021.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DHS-NEW Customer Satisfaction Survey	Form and Instruction
DHS-NEW Customer Satisfaction Survey Ombudsman Customer Satisfaction Survey DHS Form.pdf www.dhs.gov/topic/cis-ombudsman	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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
Form and Instruction	DHS-NEW	Customer Satisfaction Survey	Ombudsman Customer Satisfaction Survey DHS Form.pdf	http://www.dhs.gov/topic/cis-ombudsman	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: 8,800

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	8,800	8,800
Annual IC Time Burden (Hours)	4,400	4,400
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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