Form TSA Form 1303 TSA Form 1303 TSA Product Feedback Survey

CLASSIFICATION:

DEPARTMENT OF HOMELAND SECURITY
Transportation Security Administration

TSA PRODUCT FEEDBACK SURVEY

TTTTTper directions below.
INSTRUCTIONS: Please complete survey questions and submit
Product Title:
1.

Stakeholder or Partner (Select one):

☐DHS Component
☐Intelligence Community (IC)

☐Industry: Air Cargo
☐Industry: Airport

☐Industry: Original Equipment Manufacturers
☐Industry: Passenger Air

☐Federal (non-IC)

☐Industry: Freight Rail

☐Industry: Pipeline

☐State, Local, Tribal, Territorial

☐Industry: Highway

☐Other:

☐Foreign Engagement

☐Industry: Mass Transit/Passenger Rail

2.

How satisfied or dissatisfied are you with this transportation security information overall? (Select one)

☐Very satisfied

3.

☐Somewhat
Satisfied

☐Neither Satisfied
Nor Dissatisfied

☐Somewhat
Dissatisfied

☐Very
Dissatisfied

How satisfied or dissatisfied are you with the following aspects of this transportation
security information? (select one)
Very
Satisfied

Somewhat
Satisfied

Neutral

Very
Dissatisfied

☐

Somewhat
Dissatisfie
d
☐

Timeliness: The degree to which you
received or obtained the information
within the time it was needed
Relevance: The degree to which
the information was applicable to
your organization

☐

☐

☐

☐

☐

☐

☐

Completeness: The degree to which
the information contained all the
necessary details

☐

☐

☐

☐

☐

Actionability: The degree to which the
information enabled you to make
adjustments to your security measures,
if such a change was warranted

☐

☐

☐

☐

☐

Accuracy: The degree to which
the information was correct
Delivery Mechanism: The manner by
which the information was received (e.g.
website, email, brief)

☐

☐

☐

☐

☐

☐

☐

☐

☐

☐

4.

Did you find this transportation security information valuable (select one)?
☐Yes

☐No

If Yes, check the areas where it provided value (select one or more):
☐Improved understanding of a transportation threat, vulnerability, and/or consequence
☐Integrated into my organization’s security awareness products, or shared product internally or with other partners
☐Resulted in a change or validation of one or more security measures and/or policies
☐Responded to a specific threat
☐Other. Please explain:

TSA Form 1303 (5/15), TSA File Code 5000, OMB 1652-0058

Page 1 of 2

☐

CLASSIFICATION:

DEPARTMENT OF HOMELAND SECURITY
Transportation Security Administration
TTTTT
If No, check the reasons the information was not valuable
(select one or more):
☐The information arrived too late
☐The information does not apply to my organization
☐The information is unclear
☐The information contains errors
☐The information lacked objectivity
☐The information is too verbose
☐Other. Please explain:

5.

Suggestions for Improvement, Issues, or General Comments (if desired):

Although not required, providing the information below will help us improve our efforts to serve your organizations’
transportation security information needs.
Name:
Phone Number:
Organization:
Email Address:
Provide Survey Responses to [email protected] or {“Submit Feedback” Button}
Privacy Act Statement: Authority: 49 USC 114(f). Purpose: This information will be used by TSA to respond to
transportation security stakeholders that voluntarily provide contact information. Routine Uses: Information you
provide may be disclosed to individuals within TSA who have a need to know the information in the performance of
their official duties and in accordance with the routine uses identified in DHS System of Records, DHS/TSA 006,
Correspondence and Matters Tracking. Disclosure: Voluntary.
PAPERWORK REDUCTION ACT BURDEN STATEMENT: TSA is collecting this information to identify ongoing
improvement opportunities for its Information Sharing Program. The public burden for collecting this information is
estimated to be approximately 5 minutes. This is a voluntary collection of information. Send comments regarding this
burden estimate or collection to: TSA-11, Attention: PRA 1652-0058, 601 South 12th Street, Arlington, VA 20598. An
agency may not conduct or sponsor, and persons are not required to respond to a collection of information, unless it
displays a valid OMB control number. The OMB control number assigned to this collection is 1652-0058, which
expires 07/31/2016.

TSA Form 1303 (5/15), TSA File Code 5000, OMB 1652-0058

Page 2 of 2