Information Collection

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

IC 227303 under ICR 201712-1405-007 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Beta Testing - DDTC.docx	Instruction
Webinars - DDTC.docx	Instruction
Chinese - American Citizen Services Applicant Satisfaction.docx	Other-Survey
English - American Citizen Applicant Satisfaction.docx	Other-Survey
Spanish - American Citizen Services Applicant Satisfaction.docx	Other-Survey
English - Immigrant Visa Applicant Satisfaction.docx	Other-Survey
Web - Immigrant Visa Applicant Satisfaction.pdf	Other-Survey Web Application
Chinese - Non-immigrant Visa Applicant Satisfaction.pdf	Other-Survey
English - Non-immigrant Visa Applicant Satisfaction.docx	Other-Survey
Russia - Non-immigrant Visa Applicant Satisfaction.pdf	Other-Survey
Web - Non-immigrant Visa Applicant Satisfaction.PDF	Other-Survey Web Application
CA Walk-in Survey.pdf	Other-Survey
PPT Online Feedback Survey.pdf	Other-Survey Web Application
English - National Visa Center.docx	Other-Survey
Web - National Visa Center.pdf	Other-Survey
State Kiosk - Passport Feedback.pdf	Other-Survey Web Application
DTAG One Form Working Group - Final Combined Questionnaire.docx	Other-Survey
SV-2017-0001 Customer Survey eGov pages.docx	Other-Survey
Generic Clearance Submission for Kiosk.doc Generic Clearance Submission - State Kiosk - Passport Feedback	IC Document
Generic Clearance Submission DTAG Questionnaire.doc Generic Clearance Submission - DTAG Survey	IC Document
Survey Clearance Submission OMB Control Number 1405-0193.docx Generic Clearance Submission - eGov	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

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

Agency IC Tracking Number:

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction	Beta Testing - DDTC.docx	Yes	No	Fillable Printable
Instruction	Webinars - DDTC.docx	Yes	No	Fillable Printable
Other-Survey	Chinese - American Citizen Services Applicant Satisfaction.docx	No		Printable Only
Other-Survey	English - American Citizen Applicant Satisfaction.docx	Yes	No	Printable Only
Other-Survey	Spanish - American Citizen Services Applicant Satisfaction.docx	Yes	No	Printable Only
Other-Survey	English - Immigrant Visa Applicant Satisfaction.docx	Yes	No	Printable Only
Other-Survey Web Application	Web - Immigrant Visa Applicant Satisfaction.pdf	Yes	Yes	Fillable Fileable
Other-Survey	Chinese - Non-immigrant Visa Applicant Satisfaction.pdf	Yes	No	Printable Only
Other-Survey	English - Non-immigrant Visa Applicant Satisfaction.docx	Yes	No	Printable Only
Other-Survey	Russia - Non-immigrant Visa Applicant Satisfaction.pdf	Yes	No	Printable Only
Other-Survey Web Application	Web - Non-immigrant Visa Applicant Satisfaction.PDF	Yes	Yes	Fillable Fileable
Other-Survey	CA Walk-in Survey.pdf	Yes	No	Printable Only
Other-Survey Web Application	PPT Online Feedback Survey.pdf	Yes	Yes	Fillable Fileable
Other-Survey	English - National Visa Center.docx	Yes	No	Printable Only
Other-Survey	Web - National Visa Center.pdf	Yes	Yes	Fillable Fileable
Other-Survey Web Application	State Kiosk - Passport Feedback.pdf	Yes	Yes	Fillable Fileable
Other-Survey	DTAG One Form Working Group - Final Combined Questionnaire.docx	Yes	Yes	Fillable Fileable
Other-Survey	SV-2017-0001 Customer Survey eGov pages.docx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 325,000

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	325,000	325,000
Annual IC Time Burden (Hours)	18,958	18,958
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearance Submission - State Kiosk - Passport Feedback	Generic Clearance Submission for Kiosk.doc	07/27/2017
Generic Clearance Submission - DTAG Survey	Generic Clearance Submission DTAG Questionnaire.doc	12/14/2017
Generic Clearance Submission - eGov	Survey Clearance Submission OMB Control Number 1405-0193.docx	12/21/2017

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