CS&C Event Evaluation Survey

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1670-0027 can be found here:

Documents and Forms

Document Name Document Type
CS&C Event Evaluation Survey Form
CS&C Event Evaluation Survey CSC Event Evaluation Form_Final.xlsx Form
Generic Submission Form_CSC Event Evaluation Survey_final.docx Generic Submission Form IC Document
SORN_DHS-ALL-002.pdf SORN IC Document
PIA_DHS-ALL-006.pdf PIA IC Document

Information Collection (IC) Details

IC Title:	CS&C Event Evaluation Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	n/a	CS&C Event Evaluation Survey	CSC Event Evaluation Form_Final.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title: DHS-ALL-002	FR Citation: 73 FR 71659

Number of Respondents: 500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Submission Form	Generic Submission Form_CSC Event Evaluation Survey_final.docx	06/15/2018
SORN	SORN_DHS-ALL-002.pdf	06/15/2018
PIA	PIA_DHS-ALL-006.pdf	06/15/2018

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