Public Engagement 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⚠️ Notice: This information collection may be referencing outdated material.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 1405-0193 can be found here:

Documents and Forms

Document Name Document Type
Office of Public Engagement Survey.docx Other-Survey: SV-2017-0004
Additional Questions_ Generic Clearance Submission_Bureau of Public Affairs_Office of Public Engagement Survey.doc Generic Clearance Supporting Statement IC Document

Information Collection (IC) Details

IC Title:	Public Engagement 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
Other-Survey: SV-2017-0004			Office of Public Engagement Survey.docx		Yes	Yes	Fillable Printable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60,000	60,000
Annual IC Time Burden (Hours)	3,000	3,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Clearance Supporting Statement	Additional Questions_ Generic Clearance Submission_Bureau of Public Affairs_Office of Public Engagement Survey.doc	07/23/2018

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