Information Collection

Passport Premier Acceptance Facility Survey

IC 211667 under ICR 201611-1405-003 · OMB 1405-0193.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0193 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SV-2014-0001 Passport Premier Acceptance Facility Survey	Form and Instruction
SV-2014-0001 Premier Acceptance Facility Survey-ENGLISH Premier Acceptance Facility Survey-ENGLISH (5-2014).docx	Form and Instruction
SV-2014-0001 Premier Acceptance Facility Survey-SPANISH Premier Acceptance Facility Survey-SPANISH (5-2014).docx	Form and Instruction
Generic Clearance Submission Template (PPT Acceptance 3-2014).pdf Generic Clearance Submission Template	IC Document

IC Title:

Passport Premier Acceptance Facility Survey

Agency IC Tracking Number:

IC Status: Unchanged

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	SV-2014-0001	Premier Acceptance Facility Survey-ENGLISH	Premier Acceptance Facility Survey-ENGLISH (5-2014).docx		No		Paper Only
Form and Instruction	SV-2014-0001	Premier Acceptance Facility Survey-SPANISH	Premier Acceptance Facility Survey-SPANISH (5-2014).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: 16,551

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	16,551	16,551
Annual IC Time Burden (Hours)	828	828
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearance Submission Template	Generic Clearance Submission Template (PPT Acceptance 3-2014).pdf	05/20/2014

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