Questionnaire regarding Photo/DS-160 Confirmation Page

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⚠️ Notice: This information collection may be referencing outdated material.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
Questionnaire - Photo DS160 - 11-26.docx Other-Survey
Generic Clearance Submission - Questionnaire for Photo DS-160.doc Generic Clearance Submission - DS-160 IC Document

Information Collection (IC) Details

IC Title:	Questionnaire regarding Photo/DS-160 Confirmation Page	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			Questionnaire - Photo DS160 - 11-26.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: 200	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	200	200
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Clearance Submission - DS-160	Generic Clearance Submission - Questionnaire for Photo DS-160.doc	11/27/2019

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