Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Contact Us	Form	New	Available
Form SV-2016-0001 EducationUSA Student Survey	Form	New	Available
Form SV-2015-0006 National Visa Center (NVC) Satisfaction Survey	Form	Unchanged	Available
Form SV-2015-0009 Nonimmigrant Visa Applicant Satisfaction Survey	Form and Instruction	Unchanged	Available
Form SV-2015-0008 Immigrant Visa Applicant Satisfaction Survey	Form and Instruction	Unchanged	Available
Form SV-2015-0007 State Kiosk Survey	Form	Unchanged	Available
Form SV-2015-0006 National Visa Center Satisfaction Survey	Form and Instruction	Unchanged	Available
Form SV02015-0001 PPT Online Feedback Survey	Form and Instruction	Unchanged	Available
Form SV-2015-0005 ACS Applicant Satisfaction Survey - Spanish (4-2015)	Form and Instruction	Unchanged	Available
Form SV02015-0005 ACS Applicant Satisfaction Survey	Form and Instruction	Unchanged	Available
Form SV-2015-0004 Vendor Survey	Form and Instruction	Unchanged	Available
Form SV-2015-0002 Interview Script for Visa Services Research	Form and Instruction	Unchanged	Available
Form SV-2011-0022 Visa Applicant Satisfaction Survey	Form and Instruction	Unchanged	Available
Form SV-2014-0001 Premier Acceptance Facility Survey-SPANISH	Form and Instruction	Unchanged	Available
Form SV-2014-0001 Premier Acceptance Facility Survey-ENGLISH	Form and Instruction	Unchanged	Available
Form SV-2012-0001 OFM Customer Satisfaction Survey	Form and Instruction	Unchanged	Available
Form SV-20013-0003 AMERICAN CITIZENS SERVICES CUSTOMER SERVICE SATISFACTION SURVEY	Form and Instruction	Unchanged	Available
Justification for Non Substantive Change (4-2015).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2015-04-27	Available
Supporting Statement DoS Fast Trak Customer Service Surveys (5-2014).docx	Supporting Statement A	Uploaded 2014-05-20	Available
Supporting Statement Part B DoS Fast Trak Customer Service Surveys (5-2014).docx	Supporting Statement B	Uploaded 2014-05-20	Available
Generic Clearance Submission Template.doc	Supplementary Document	Uploaded 2011-04-22	Available
EO 12862 SETTING CUSTOMER SERVICE STANDARDS.txt	Supplementary Document	Uploaded 2011-03-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
223607	Nonimmigrant Visa Satisfaction Survey	Other-Satisfaction Survey	New
223604	American Citizens Survey (ACS) Applicant Satisfaction Survey	Other-Satisfaction Survey	New
223600	Immigrant Visa Satisfaction Survey	Other-Satisfaction Survey	New
223201	Contact Us (Kenya)	Form	New	Contact Us
221553	Survey to Determine Awareness and Use of EducationUSA Facilities in India	Form	New	EducationUSA Student Survey
221498	Industry Usability Testing – Directorate of Defense Trade Controls IT Modernization Initiative Beta Testing.		New
221488	Industry Usability Testing – Directorate of Defense Trade Controls IT Modernization Initiative Webinars.		New
219619	National Visa Center (NVC) Satisfaction Survey	Form	Unchanged	National Visa Center (NVC) Satisfaction Survey
219345	Nonimmigrant Visa Applicant Satisfaction Survey	Other-Survey	Modified
219342	Immigrant Visa Applicant Satisfaction Survey	Other-Survey	Unchanged
218346	Nonimmigrant Visa Applicant Satisfaction Survey	Form and Instruction	Unchanged	Nonimmigrant Visa Applicant Satisfaction Survey
217395	Immigrant Visa Satisfaction Survey	Form and Instruction	Unchanged	Immigrant Visa Applicant Satisfaction Survey
217150	Federal Feedback Button - Dept. of State	Form	Unchanged	State Kiosk Survey
216829	National Visa Center Satisfaction Survey	Form and Instruction	Unchanged	National Visa Center Satisfaction Survey
215981	PPT Online Feedback Survey	Form and Instruction	Unchanged	PPT Online Feedback Survey
215979	ACS Applicant Satisfaction Survey	Form and Instruction	Unchanged	ACS Applicant Satisfaction Survey - Spanish (4-2015)
215979	ACS Applicant Satisfaction Survey	Form and Instruction	Unchanged	ACS Applicant Satisfaction Survey
215928	Vendor Survey	Form and Instruction	Unchanged	Vendor Survey
214998	Interview Script for Visa Services Research	Form and Instruction	Unchanged	Interview Script for Visa Services Research
211668	Visa Applicant Satisfaction Survey	Form and Instruction	Unchanged	Visa Applicant Satisfaction Survey
211667	Passport Premier Acceptance Facility Survey	Form and Instruction	Unchanged	Premier Acceptance Facility Survey-SPANISH
211667	Passport Premier Acceptance Facility Survey	Form and Instruction	Unchanged	Premier Acceptance Facility Survey-ENGLISH
211665	Office of Foreign Missions Customer Satisfaction Survey	Form and Instruction	Unchanged	OFM Customer Satisfaction Survey
211664	American Citizens Services Customer Service Satisfaction Survey	Form and Instruction	Unchanged	AMERICAN CITIZENS SERVICES CUSTOMER SERVICE SATISFACTION SURVEY

ICR Details

OMB Control No: 1405-0193	ICR Reference No: 201602-1405-012
Status: Historical Active	Previous ICR Reference No: 201504-1405-004
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/23/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/17/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2017	07/31/2017	07/31/2017
Responses	150,000	0	150,000
Time Burden (Hours)	26,250	0	26,250
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: SETTING CUSTOMER SERVICE STANDARDS
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 7273	02/06/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 28990	05/20/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 22

table that charts list of burden

IC Title	Form No.	Form Name
ACS Applicant Satisfaction Survey	SV-2015-0005, SV02015-0005	ACS Applicant Satisfaction Survey ,   ACS Applicant Satisfaction Survey - Spanish (4-2015)
American Citizens Services Customer Service Satisfaction Survey	SV-20013-0003	AMERICAN CITIZENS SERVICES CUSTOMER SERVICE SATISFACTION SURVEY
American Citizens Survey (ACS) Applicant Satisfaction Survey
Contact Us (Kenya)	N/A	Contact Us
Federal Feedback Button - Dept. of State	SV-2015-0007	State Kiosk Survey
Immigrant Visa Applicant Satisfaction Survey
Immigrant Visa Satisfaction Survey	SV-2015-0008	Immigrant Visa Applicant Satisfaction Survey
Immigrant Visa Satisfaction Survey
Industry Usability Testing – Directorate of Defense Trade Controls IT Modernization Initiative Beta Testing.
Industry Usability Testing – Directorate of Defense Trade Controls IT Modernization Initiative Webinars.
Interview Script for Visa Services Research	SV-2015-0002	Interview Script for Visa Services Research
National Visa Center (NVC) Satisfaction Survey	SV-2015-0006	National Visa Center (NVC) Satisfaction Survey
National Visa Center Satisfaction Survey	SV-2015-0006	National Visa Center Satisfaction Survey
Nonimmigrant Visa Applicant Satisfaction Survey	SV-2015-0009	Nonimmigrant Visa Applicant Satisfaction Survey
Nonimmigrant Visa Applicant Satisfaction Survey
Nonimmigrant Visa Satisfaction Survey
Office of Foreign Missions Customer Satisfaction Survey	SV-2012-0001	OFM Customer Satisfaction Survey
PPT Online Feedback Survey	SV02015-0001	PPT Online Feedback Survey
Passport Premier Acceptance Facility Survey	SV-2014-0001, SV-2014-0001	Premier Acceptance Facility Survey-ENGLISH ,   Premier Acceptance Facility Survey-SPANISH
Survey to Determine Awareness and Use of EducationUSA Facilities in India	SV-2016-0001	EducationUSA Student Survey
Vendor Survey	SV-2015-0004	Vendor Survey
Visa Applicant Satisfaction Survey	SV-2011-0022	Visa Applicant Satisfaction Survey

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ICR Summary of Burden

table that charts list of burden

	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	150,000	150,000	0	0	0	0
Annual Time Burden (Hours)	26,250	26,250	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Burden has increased due to increased number of respondents and removal and additions of surveys

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Annual Cost to Federal Government: $500,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/17/2016

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