OmniChannel Question Bank

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⚠️ Notice: This information collection may be referencing outdated material.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 1615-0121 can be found here:

Documents and Forms

Document Name Document Type
Form 1615-0121 OmniChannel Question Bank Form and Instruction
1615-0121 OmniChannel Question Bank Consolidated questions and channel questions.xlsx Form and Instruction
1615-0121 Qualtric Q Bank Supporting Statement.docx Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	OmniChannel Question Bank	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 and Instruction	1615-0121	OmniChannel Question Bank	Consolidated questions and channel questions.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title: Correspondence Records	FR Citation: 83 FR 48645

Number of Respondents: 630,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	630,000	630,000
Annual IC Time Burden (Hours)	10,500	10,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Supporting Statement	1615-0121 Qualtric Q Bank Supporting Statement.docx	06/10/2020

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