Information Collection

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

IC 228812 under ICR 202103-0704-001 · OMB 0704-0420.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0704-0420 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ICE Survey Example Images.pdf	Other-Sample Survey
ICE Survey Example Images.pdf	Other-Sample Survey
ICE Sample Invitation.docx Sample Invitation	IC Document
ICE Sample Invitation.docx Sample Invitation	IC Document
OMB Service Providers and Questions 2021.xlsx OMB Service Providers and Questions	IC Document
OMB Service Providers and Questions 2021.xlsx OMB Service Providers and Questions	IC Document

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Sample Survey			ICE Survey Example Images.pdf		Yes	Yes	Fillable Fileable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 80,652

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	80,652	-71,970	152,622
Annual IC Time Burden (Hours)	4,033	-3,598	7,631
Annual IC Cost Burden (Dollars)	82,507	-64,010	146,517

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Sample Invitation	ICE Sample Invitation.docx	03/04/2021
OMB Service Providers and Questions	OMB Service Providers and Questions 2021.xlsx	03/04/2021

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