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MPHISE Assessment Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 1601-0014
IC ID: 242249
OMB.report
DHS/OS
OMB 1601-0014
ICR 202106-1601-004
IC 242249
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1601-0014 can be found here:
2022-10-14 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
MPHISE_Survey_v7.docx
Other-Mock Up - Survey Monkey
MPHISE Feedback Generic Clearance Submission .docx
MPHISE Submission Form
IC Document
DHSALL-002 Department of Homeland Security (DHS) Mailing and Other Lists System.log
DHS/ALL-002 Department of Homeland Security (DHS) Mailing and Other Lists System
IC Document
DHS Surveys, Interviews, and Focus Groups DHSALLPIA-069 .pdf
DHS Surveys, Interviews, and Focus Groups DHSALLPIA-069
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
MPHISE Assessment Survey
Agency IC Tracking Number:
IC Status:
Unchanged
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-Mock Up - Survey Monkey
MPHISE_Survey_v7.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Key Asset and Critical Infrastructure Protection
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
195
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
195
0
0
0
0
195
Annual IC Time Burden (Hours)
39
0
0
0
0
39
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
MPHISE Submission Form
MPHISE Feedback Generic Clearance Submission .docx
06/12/2020
DHS/ALL-002 Department of Homeland Security (DHS) Mailing and Other Lists System
DHSALL-002 Department of Homeland Security (DHS) Mailing and Other Lists System.log
06/12/2020
DHS Surveys, Interviews, and Focus Groups DHSALLPIA-069
DHS Surveys, Interviews, and Focus Groups DHSALLPIA-069 .pdf
06/12/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.