Federal Feedback Button - Dept. of State

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

OMB: 1405-0193

IC ID: 217150

Information Collection (IC) Details

View Information Collection (IC)

Federal Feedback Button - Dept. of State
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SV-2015-0007 State Kiosk Survey State Kiosk Survey (6-2015).jpg Yes Yes Fillable Fileable

International Affairs and Commerce Foreign Affairs

 

76,000 0
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 76,000 0 0 0 0 76,000
Annual IC Time Burden (Hours) 215 0 0 0 0 215
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Signage for Kiosk State Kiosk sign with OMB-PRA (attached to Kiosk) 6-2015.pdf 06/22/2015
Generic Clearance Submission Template Generic Clearance Submission Template State Kiosk Survey (6-2015).pdf 06/22/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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