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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Survey LTA Exit Survey	Form and Instruction	New	Repair queued
Form Survey CT Lunch and Learn Survey	Form and Instruction	New	Repair queued
FSI Heritage Speaker Survey	Form and Instruction	New	Repair queued
Form Survey EORQ for QB	Form and Instruction	New	Repair queued
Form Survey Resilience Webinar Evaluation	Form and Instruction	New	Repair queued
Subnational Diplomacy Unit at the Department of State Survey	Form and Instruction	New	Repair queued
Form Survey MED Feedback Survey	Form and Instruction	New	Repair queued
Form Survey MQ120 Foreign Service Orientation Survey	Form and Instruction	New	Repair queued
Form Survey MQ911 Security Overseas Seminar	Form and Instruction	New	Repair queued
Form Survey GPA Inclusion Survey	Form and Instruction	New	Repair queued
Student and Advisor Visa Interview Screener Form	Form and Instruction	New	Repair queued
Form Survey Student and Advisor Visa Interview Questions	Form	New	Repair queued
Form Survey Teaching and Working in Education for EFMs Survey	Form and Instruction	New	Repair queued
Form Survey SLS/PD Needs Analysis Interview Survey	Form and Instruction	New	Repair queued
Survey	Form and Instruction	New	Repair queued
eCRBA Customer Survey	Form and Instruction	New	Repair queued
Form Survey FSI Focus Group Survey	Form and Instruction	New	Repair queued
Form Survey PRM Application Feedback Questionnaire	Form and Instruction	New	Repair queued
One Health Research Symposium Registration	Form	New	Repair queued
One Health Symposium Post Survey	Form	New	Repair queued
Form Survey Professional Development Session Feedback	Form and Instruction	New	Repair queued
Form Survey MQ 131- Ask the Education Expert	Form and Instruction	New	Repair queued
DLD End of Course Survey	Form	New	Repair queued
R/PPR Employee Satisfaction Survey	Form and Instruction	New	Repair queued
Mental Health Survey	Form and Instruction	New	Repair queued
OPE Industry Partner Survey	Form and Instruction	New	Repair queued
IMET Alumni Student Survey	Form and Instruction	New	Repair queued
Complex Risk Analysis Fund Questionnaire	Form and Instruction	New	Repair queued
EX Signature Block Survey	Form and Instruction	New	Repair queued
MQ116 Protocol and U.S. Representation Abroad Evaluation Survey	Form	New	Repair queued
MQ117 Tax Considerations for the Foreign Service Community Evaluation Survey	Form and Instruction	New	Repair queued
MQ119 Orientation to DOS for Foreign Affairs Evaluation Survey	Form and Instruction	New	Repair queued
MQ122 Ready, Set, Travel Evaluation Survey	Form and Instruction	New	Repair queued
MQ133 Advocacy Tools for Parents of Children with Special Needs Evaluation Survey	Form and Instruction	New	Repair queued
MQ250 Young Diplomats Overseas Preparation Evaluation Survey	Form and Instruction	New	Repair queued
MQ705 International Development: Employment Options for EFMs Evaluation Survey	Form and Instruction	New	Repair queued
MQ708 Virtual Work Opportunities for EFMs Evaluation Survey	Form and Instruction	New	Repair queued
MQ853 Managing Your Rental Property While Serving Overseas Evaluation Survey	Form and Instruction	New	Repair queued
MQ854 Estate Planning for the Foreign Affairs Community Evaluation Survey	Form and Instruction	New	Repair queued
MQ855 Traveling with Pets for the Foreign Affairs Community Evaluation Survey	Form and Instruction	New	Repair queued
MQ897 Ready, Set, Return to the U.S. Evaluation Survey	Form and Instruction	New	Repair queued
Super Saturday Evaluation Survey	Form and Instruction	New	Repair queued
“Know Your Rights” Information Pamphlet and Video Feedback Survey	Form	New	Repair queued
Virtual Student Federal Service Internship Survey	Form	New	Repair queued
GPA Speaker Invitation Form	Form	New	Repair queued
Scouts Form	Form	New	Repair queued
American Services Outreach Survey	Form and Instruction	New	Repair queued
SLS Hybrid Instruction Pulse Check	Form and Instruction	New	Repair queued
Spouse/Partner Toolkit Evaluation Survey	Form and Instruction	New	Repair queued
MQ852	Form and Instruction	New	Repair queued
MQ802 Cross Cultural Communication Evaluation Survey	Form and Instruction	New	Repair queued
MQ704 Employment Tools for EFMs Evaluation Survey	Form and Instruction	New	Repair queued
MQ134 Educating Your FS Child: The Boarding School Option Evaluation Survey	Form and Instruction	New	Repair queued
MQ118 Educating Your Special Needs Child in the FA Community Evaluation Survey	Form and Instruction	New	Repair queued
MQ104 Regulations, Allowances & Finances in the Foreign Service Context Evaluation Survey	Form and Instruction	New	Repair queued
LTA Exit Survey	Form and Instruction	New	Repair queued
IRF Survey	Form and Instruction	New	Repair queued
Form Survey IRM-SWP Survey	Form and Instruction	New	Repair queued
Community Liaison Volunteer Survey	Form	New	Repair queued
Form Survey JSTP Biennial Survey	Form and Instruction	New	Repair queued
Form Survey FSI SLS FSiLearn Landing Page Survey	Form and Instruction	New	Repair queued
Pakistan DEIA Survey	Form	New	Repair queued
Embassy San Salvador Diversity, Equity, Inclusion, and Accessibility (DEIA) Survey	Form and Instruction	New	Repair queued
Areas of Worklife Survey and MBI Human Services Survey for Medical Personnel	Form and Instruction	New	Repair queued
Form Survey SMP Women in IT Survey	Form and Instruction	New	Repair queued
Form Survey SLS Hybrid Instruction Pulse Survey	Form and Instruction	New	Repair queued
Form Survey Student Survey	Form and Instruction	New	Repair queued
Form Survey Staff Survey	Form and Instruction	New	Repair queued
Form Survey Evaluation Survey	Form and Instruction	New	Repair queued
Form Survey Psychological Safety Assessment	Form and Instruction	New	Repair queued
Form Survey Participant Impact Questionnaire	Form and Instruction	New	Repair queued
OBC Experience Survey	Form and Instruction	New	Repair queued
Form Survey Basics Training Following Up	Form and Instruction	New	Repair queued
SLS-Russian End of Rotation Questionnaire	Form and Instruction	New	Repair queued
MQ860 Ask the Pet Expert Evaluation Survey	Form and Instruction	New	Repair queued
CEFAR Webinar Survey	Form	New	Repair queued
Post Language Program Experience Survey	Form and Instruction	New	Repair queued
IRM-SWP webinar attendees survey	Form and Instruction	New	Repair queued
EUA End of Rotation Survey for French Language program	Form and Instruction	New	Repair queued
DDTC Speaking Engagement Request Form	Form	New	Repair queued
TC Personal Safety and Security	Form and Instruction	New	Repair queued
LTU Language Testing Exit Survey	Form and Instruction	New	Repair queued
LTU Language Testing Exit Survey Follow Up	Form and Instruction	New	Repair queued
FSIEX Customer Relationship Survey	Form and Instruction	New	Repair queued
FSI LTU Language Test Score Report Feedback Form (Preview) Microsoft Forms	Form and Instruction	New	Repair queued
Women's Health Working Group Survey	Form and Instruction	New	Repair queued
TPC Workplace Assessment	Form	New	Repair queued
Sanako Student Satisfaction Survey	Form and Instruction	New	Available
Sanako Student Satisfaction Survey	Form and Instruction	New	Repair queued
Sanako Connect End of Training Survey	Form and Instruction	New	Repair queued
Sanako Connect End of Training Survey	Form and Instruction	New	Repair queued
Mobile App User Satisfaction Survey	Form and Instruction	New	Available
Mobile App User Satisfaction Survey	Form and Instruction	New	Repair queued
Virtual Support Room Satisfaction Survey	Form and Instruction	New	Available
Virtual Support Room Satisfaction Survey	Form and Instruction	New	Repair queued
Alpha Beta Survey	Form and Instruction	New	Available
Alpha Beta Survey	Form and Instruction	New	Repair queued
Information Center Annual Patron Survey	Form and Instruction	New	Available
Information Center Annual Patron Needs Survey	Form and Instruction	New	Repair queued
Online Passport Renewal Survey	Form and Instruction	New	Available
Online Passport Renewal Survey	Form and Instruction	New	Repair queued
Foreign Aff airs Manual & Handbook Usability Survey	Form and Instruction	New	Available
Foreign Aff airs Manual & Handbook Usability Survey	Form and Instruction	New	Repair queued
CSO Diversity and Inclusion Survey	Form and Instruction	Unchanged	Available
CSO Diversity and Inclusion Survey	Form and Instruction	Unchanged	Repair queued
Survey for Global Guide	Form and Instruction	Unchanged	Available
Survey for Global Guide	Form and Instruction	Unchanged	Repair queued
SWT Check-in Survey	Form and Instruction	Unchanged	Available
J-1 Summer Work Travel Participants Check-In	Form and Instruction	Unchanged	Repair queued
IMET Survey	Form and Instruction	Unchanged	Available
IMET Senior PME Survey	Form and Instruction	Unchanged	Repair queued
Online Passport Renewal Survey - Limited Release Users.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2021-12-21	Repair queued
Generic Clearance Submission Template.docx	Supplementary Document	Uploaded 2020-12-22	Repair queued
Survey Clearance Submission OMB Control Number 1405-0193.docx	Supplementary Document	Uploaded 2018-04-17	Repair queued
Clearance Submission Template- Former Consular Fellows.doc	Supplementary Document	Uploaded 2018-04-17	Repair queued
Webinars SS.docx	Supplementary Document	Uploaded 2018-04-17	Repair queued
Beta Testing SS.doc	Supplementary Document	Uploaded 2018-04-17	Repair queued
Generic Clearance Submission_Bureau of Public Affairs_Foreign Press Center Survey.doc	Supplementary Document	Uploaded 2018-04-17	Repair queued
Generic Clearance Submission_Bureau of Public Affairs Product Use Survey.doc	Supplementary Document	Uploaded 2018-04-17	Repair queued
Generic Clearance Submission_Bureau of Public Affairs_USDC Simulation Survey.doc	Supplementary Document	Uploaded 2018-04-17	Repair queued
Generic Clearance Submission_Bureau of Public Affairs_USDC Front End Evaluation Interview Guide.doc	Supplementary Document	Uploaded 2018-04-17	Available
Generic Clearance Submission_Bureau of Public Affairs_USDC Exhibit User Tester Survey.doc	Supplementary Document	Uploaded 2018-04-17	Repair queued
Generic Clearance Submission_Bureau of Public Affairs_USDC Audience Survey.doc	Supplementary Document	Uploaded 2018-04-17	Repair queued
Generic Clearance Submission_Bureau of Public Affairs_USDC Audience Experience with Exhibits .doc	Supplementary Document	Uploaded 2018-04-17	Repair queued
Generic Clearance Submission_Bureau of Public Affairs_Office of Public Engagement Survey.doc	Supplementary Document	Uploaded 2018-04-17	Repair queued
State Kiosk - Generic Clearance Submission Template State Kiosk Survey (6-2015).pdf	Supplementary Document	Uploaded 2018-04-17	Repair queued
National Visa Center - Generic Clearance Submission Template (NVC 6-2015).pdf	Supplementary Document	Uploaded 2018-04-17	Repair queued
PPT Feedback - Generic Clearance Submission Template PPT Survey (4-2015).pdf	Supplementary Document	Uploaded 2018-04-17	Repair queued
Feedback Survey_SV-2016-0002.pdf	Supplementary Document	Uploaded 2018-04-17	Repair queued
Generic Clearance Submission DTAG Questionnaire.doc	Supplementary Document	Uploaded 2018-04-17	Repair queued
Nonimmigrant Visa - Generica Clearance Submission.pdf	Supplementary Document	Uploaded 2018-04-17	Repair queued
ACS - Generic Clearance Submission Template ACS (4-2015) survey.pdf	Supplementary Document	Uploaded 2018-04-17	Repair queued
Immigrant Visa - Generic Clearance Submission Template Immigrant Visa Survey (7-2015).pdf	Supplementary Document	Uploaded 2018-04-17	Repair queued
Legal Authorities for Customer Service Surveys - Copy.docx	Supplementary Document	Uploaded 2020-12-22	Repair queued
Final -Supporting Statement for Generic Clearance.docx	Supporting Statement A	Uploaded 2020-12-22	Repair queued
Part B - Supporting Statement for Paperwork Reduction Act Generic Information Collection Submissions for.docx	Supporting Statement B	Uploaded 2017-06-27	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
264963	LTA Exit Survey	Form and Instruction	New	LTA Exit Survey
264814	CT Lunch and Learn Survey	Form and Instruction	New	CT Lunch and Learn Survey
264320	FSI Heritage Speaker Survey	Form and Instruction	New	FSI Heritage Speaker Survey
263667	EORQ for QB	Form and Instruction	New	EORQ for QB
263652	Resilience Webinar Evaluation	Form and Instruction	New	Resilience Webinar Evaluation
263387	Subnational Diplomacy Unit Survey	Form and Instruction	New	Subnational Diplomacy Unit at the Department of State Survey
263195	MED Feedback Survey	Form and Instruction	New	MED Feedback Survey
263028	MQ120 Foreign Service Orientation Survey	Form and Instruction	New	MQ120 Foreign Service Orientation Survey
262780	MQ911 Security Overseas Seminar	Form and Instruction	New	MQ911 Security Overseas Seminar
262205	GPA Inclusion Survey	Form and Instruction	New	GPA Inclusion Survey
262089	Student and Advisor Visa Interview	Form and Instruction	New	Student and Advisor Visa Interview Screener Form
262089	Student and Advisor Visa Interview	Form	New	Student and Advisor Visa Interview Questions
262027	Teaching and Working in Education for EFMs Survey	Form and Instruction	New	Teaching and Working in Education for EFMs Survey
261848	SLS/PD Needs Analysis Interview Survey	Form and Instruction	New	SLS/PD Needs Analysis Interview Survey
261639	Dublin Survey	Form and Instruction	New	Survey
261596	Electronic Consular Report of Birth Abroad (eCRBA) Customer Survey	Form and Instruction	New	eCRBA Customer Survey
261476	FSI Focus Group Survey	Form and Instruction	New	FSI Focus Group Survey
261290	PRM Application Feedback Questionnaire	Form and Instruction	New	PRM Application Feedback Questionnaire
260729	One Health Symposium Post Survey	Form	New	One Health Research Symposium Registration
260729	One Health Symposium Post Survey	Form	New	One Health Symposium Post Survey
260720	Professional Development Session Feedback	Form and Instruction	New	Professional Development Session Feedback
260614	MQ 131- Ask the Education Expert	Form and Instruction	New	MQ 131- Ask the Education Expert
260385	DLD End of Course Survey	Form	New	DLD End of Course Survey
260080	R/PPR Employee Satisfaction Survey	Form and Instruction	New	R/PPR Employee Satisfaction Survey
259983	MED Mental Health Survey	Form and Instruction	New	Mental Health Survey
259853	OPE Industry Partners Survey	Form and Instruction	New	OPE Industry Partner Survey
259851	IMET Alumni Student Survey	Form and Instruction	New	IMET Alumni Student Survey
259751	Complex Risk Analysis Fund Questionnaire	Form and Instruction	New	Complex Risk Analysis Fund Questionnaire
259679	EX Signature Block Survey	Form and Instruction	New	EX Signature Block Survey
259537	MQ116 Protocol and U.S. Representation Abroad Evaluation Survey	Form	New	MQ116 Protocol and U.S. Representation Abroad Evaluation Survey
259536	MQ117 Tax Considerations for the Foreign Service Community Evaluation Survey	Form and Instruction	New	MQ117 Tax Considerations for the Foreign Service Community Evaluation Survey
259535	MQ119 Orientation to DOS for Foreign Affairs Evaluation Survey	Form and Instruction	New	MQ119 Orientation to DOS for Foreign Affairs Evaluation Survey
259505	MQ122 Ready, Set, Travel Evaluation Survey	Form and Instruction	New	MQ122 Ready, Set, Travel Evaluation Survey
259503	MQ133 Advocacy Tools for Parents of Children with Special Needs Evaluation Survey	Form and Instruction	New	MQ133 Advocacy Tools for Parents of Children with Special Needs Evaluation Survey
259501	MQ250 Young Diplomats Overseas Preparation Evaluation Survey	Form and Instruction	New	MQ250 Young Diplomats Overseas Preparation Evaluation Survey
259499	MQ705 International Development: Employment Options for EFMs Evaluation Survey	Form and Instruction	New	MQ705 International Development: Employment Options for EFMs Evaluation Survey
259498	MQ708 Virtual Work Opportunities for EFMs Evaluation Survey	Form and Instruction	New	MQ708 Virtual Work Opportunities for EFMs Evaluation Survey
259497	MQ853 Managing Your Rental Property While Serving Overseas Evaluation Survey	Form and Instruction	New	MQ853 Managing Your Rental Property While Serving Overseas Evaluation Survey
259496	MQ854 Estate Planning for the Foreign Affairs Community Evaluation Survey	Form and Instruction	New	MQ854 Estate Planning for the Foreign Affairs Community Evaluation Survey
259495	MQ855 Traveling with Pets for the Foreign Affairs Community Evaluation Survey	Form and Instruction	New	MQ855 Traveling with Pets for the Foreign Affairs Community Evaluation Survey
259493	MQ897 Ready, Set, Return to the U.S. Evaluation Survey	Form and Instruction	New	MQ897 Ready, Set, Return to the U.S. Evaluation Survey
259492	Super Saturday Evaluation Survey	Form and Instruction	New	Super Saturday Evaluation Survey
259460	"Know Your Rights" Information Pamphlet and Video Feedback Survey	Form	New	“Know Your Rights” Information Pamphlet and Video Feedback Survey
259275	Virtual Student Federal Service Internship Survey	Form	New	Virtual Student Federal Service Internship Survey
259040	GPA Speaker Invitation Form	Form	New	NA
259039	GPA Scouts Form	Form	New	Scouts Form
258936	American Services Outreach Survey	Form and Instruction	New	American Services Outreach Survey
258777	School of Language Studies Hybrid Instruction Pulse Check	Form and Instruction	New	SLS Hybrid Instruction Pulse Check
258682	Spouse/Partner Toolkit Evaluation Survey	Form and Instruction	New	Spouse/Partner Toolkit Evaluation Survey
258680	MQ852 Personal Finances and Investment Evaluation Survey	Form and Instruction	New	MQ852
258678	MQ802 Cross Cultural Communication Evaluation Survey	Form and Instruction	New	MQ802 Cross Cultural Communication Evaluation Survey
258677	MQ704 Employment Tools for EFMs Evaluation Survey	Form and Instruction	New	MQ704 Employment Tools for EFMs Evaluation Survey
258674	MQ134 Educating Your FS Child: The Boarding School Option Evaluation Survey	Form and Instruction	New	MQ134 Educating Your FS Child: The Boarding School Option Evaluation Survey
258673	MQ118 Educating Your Special Needs Child in the FA Community Evaluation Survey	Form and Instruction	New	MQ118 Educating Your Special Needs Child in the FA Community Evaluation Survey
258672	MQ104 Regulations, Allowances & Finances in the Foreign Service Context Evaluation Survey	Form and Instruction	New	MQ104 Regulations, Allowances & Finances in the Foreign Service Context Evaluation Survey
258668	Language Testing and Assessment Exit Survey	Form and Instruction	New	LTA Exit Survey
257889	Uses and Perceptions of the Annual International Religious Freedom Report from the US Department of State	Form and Instruction	New	IRF Survey
257367	IRM-SWP Survey	Form and Instruction	New	IRM-SWP Survey
257269	Community Liaison Volunteer Survey	Form	New	Community Liaison Volunteer Survey
257173	JSTP Biennial Survey	Form and Instruction	New	JSTP Biennial Survey
257038	FSI SLS FSiLearn Landing Page Survey	Form and Instruction	New	FSI SLS FSiLearn Landing Page Survey
256984	Mission Pakistan DEIA Survey	Form	New	Pakistan DEIA Survey
256925	Embassy San Salvador Diversity, Equity, Inclusion, and Accessibility (DEIA) Survey	Form and Instruction	New	Embassy San Salvador Diversity, Equity, Inclusion, and Accessibility (DEIA) Survey
256906	Human Services Survey for Medical Personnel	Form and Instruction	New	Areas of Worklife Survey and MBI Human Services Survey for Medical Personnel
256761	SMP Women in IT Survey	Form and Instruction	New	SMP Women in IT Survey
256731	SLS Hybrid Instruction Pulse Survey	Form and Instruction	New	SLS Hybrid Instruction Pulse Survey
256669	Ed Tech Surveys in SLS	Form and Instruction	New	Student Survey
256669	Ed Tech Surveys in SLS	Form and Instruction	New	Staff Survey
256535	TC/Training MQ104 Evaluation Survey	Form and Instruction	New	Evaluation Survey
256306	Psychological Safety Assessment	Form and Instruction	New	Psychological Safety Assessment
256303	IRM DEIA Training Effectiveness Questionnaire	Form and Instruction	New	Participant Impact Questionnaire
256269	OBC Experience Survey	Form and Instruction	New	OBC Experience Survey
256194	SLS Basics Training Follow-Up	Form and Instruction	New	Basics Training Following Up
256148	SLS-Russian End of Rotation Questionnaire	Form and Instruction	New	SLS-Russian End of Rotation Questionnaire
256142	MQ860 Ask the Pet Expert Evaluation Survey	Form and Instruction	New	MQ860 Ask the Pet Expert Evaluation Survey
255789	CEFAR Webinars	Form	New	CEFAR Webinar Survey
255749	Post Language Program Experience Survey	Form and Instruction	New	Post Language Program Experience Survey
255272	IRM-SWP webinar attendees survey	Form and Instruction	New	IRM-SWP webinar attendees survey
255270	EUA End of Rotation Survey for French Language program	Form and Instruction	New	EUA End of Rotation Survey for French Language program
255269	DDTC Speaking Engagement Request Form	Form	New	DDTC Speaking Engagement Request Form
255268	TC Personal Safety and Security	Form and Instruction	New	TC Personal Safety and Security
255267	LTU Language Testing Exit Survey	Form and Instruction	New	LTU Language Testing Exit Survey
255267	LTU Language Testing Exit Survey	Form and Instruction	New	LTU Language Testing Exit Survey Follow Up
255266	FSIEX Customer Relationship Survey	Form and Instruction	New	FSIEX Customer Relationship Survey
255264	FSI LTU Language Test Score Report Feedback Form	Form and Instruction	New	FSI LTU Language Test Score Report Feedback Form (Preview) Microsoft Forms
255187	Women's Health Working Group Survey	Form and Instruction	New	Women's Health Working Group Survey
252713	Third Party Contractor (TPC) Workplace Assessment	Form	New	TPC Workplace Assessment
250873	Sanako Student Satisfaction Survey	Form and Instruction	New	Sanako Student Satisfaction Survey
250873	Sanako Student Satisfaction Survey	Form and Instruction	New
250872	Sanako Connect End of Training Survey	Form and Instruction	New	Sanako Connect End of Training Survey
250872	Sanako Connect End of Training Survey	Form and Instruction	New
250871	Mobile App User Satisfaction Survey	Form and Instruction	New	Mobile App User Satisfaction Survey
250871	Mobile App User Satisfaction Survey	Form and Instruction	New
250870	Virtual Support Room Satisfaction Survey	Form and Instruction	New	Virtual Support Room Satisfaction Survey
250870	Virtual Support Room Satisfaction Survey	Form and Instruction	New
250868	Alpha Beta Survey	Form and Instruction	New	Alpha Beta Survey
250868	Alpha Beta Survey	Form and Instruction	New
250867	Information Center Annual Patron Needs Survey	Form and Instruction	New	Information Center Annual Patron Survey
250867	Information Center Annual Patron Needs Survey	Form and Instruction	New
250866	DECCS User Group	Other-Focus Group	New
250629	Online Passport Renewal Survey	Form and Instruction	New	Online Passport Renewal Survey
250629	Online Passport Renewal Survey	Form and Instruction	New
250628	Foreign Aff airs Manual & Handbook Usability Survey	Form and Instruction	New	Foreign Aff airs Manual & Handbook Usability Survey
250628	Foreign Aff airs Manual & Handbook Usability Survey	Form and Instruction	New
247932	CSO Diversity and Inclusion Survey	Form and Instruction	Unchanged	CSO Diversity and Inclusion Survey
247932	CSO Diversity and Inclusion Survey	Form and Instruction	Unchanged
247470	Survey for Global Guide	Form and Instruction	Unchanged	Survey for Global Guide
247470	Survey for Global Guide	Form and Instruction	Unchanged
247468	J-1 Summer Work Travel Participants Check-In	Form and Instruction	Unchanged	SWT Check-in Survey
247468	J-1 Summer Work Travel Participants Check-In	Form and Instruction	Unchanged
247467	IMET Senior PME Survey	Form and Instruction	Unchanged	IMET Survey
247467	IMET Senior PME Survey	Form and Instruction	Unchanged

ICR Details

OMB Control No: 1405-0193	ICR Reference No: 202112-1405-002
Status: Historical Active	Previous ICR Reference No: 202105-1405-003
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/11/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/21/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2024	08/31/2024	08/31/2024
Responses	2,000,000	0	2,000,000
Time Burden (Hours)	116,667	0	116,667
Cost Burden (Dollars)	0	0	0

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Abstract: The information collection activity will collect qualitative customer feedback in an efficient, timely manner, in accordance with the Administration's commitment to improving service delivery. This qualitative feedback will provide insights into customer perceptions, experiences and expectations, provide an early warning of issues with service, or focus attention on areas where communication, training or changes in operations might improve delivery of products or services. These collections will allow for ongoing, collaborative and actionable communications between the Agency and its customers. It will also allow feedback to contribute directly to the improvement of program management.

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Authorizing Statute(s): EO: EO 12862 Name/Subject of EO: SETTING CUSTOMER SERVICE STANDARDS
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 42966	07/15/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 81551	12/06/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 96

table that charts list of burden

IC Title	Form No.	Form Name
"Know Your Rights" Information Pamphlet and Video Feedback Survey	NA	“Know Your Rights” Information Pamphlet and Video Feedback Survey
Alpha Beta Survey	NA	Alpha Beta Survey
American Services Outreach Survey	NA	American Services Outreach Survey
CEFAR Webinars	NA	CEFAR Webinar Survey
CSO Diversity and Inclusion Survey	NA	CSO Diversity and Inclusion Survey
CT Lunch and Learn Survey	Survey	CT Lunch and Learn Survey
Community Liaison Volunteer Survey	NA	Community Liaison Volunteer Survey
Complex Risk Analysis Fund Questionnaire	NA	Complex Risk Analysis Fund Questionnaire
DDTC Speaking Engagement Request Form	NA	DDTC Speaking Engagement Request Form
DECCS User Group
DLD End of Course Survey	NA	DLD End of Course Survey
Dublin Survey	NA	Survey
EORQ for QB	Survey	EORQ for QB
EUA End of Rotation Survey for French Language program	NA	EUA End of Rotation Survey for French Language program
EX Signature Block Survey	NA	EX Signature Block Survey
Ed Tech Surveys in SLS	Survey, Survey	Staff Survey ,   Student Survey
Electronic Consular Report of Birth Abroad (eCRBA) Customer Survey	NA	eCRBA Customer Survey
Embassy San Salvador Diversity, Equity, Inclusion, and Accessibility (DEIA) Survey	NA	Embassy San Salvador Diversity, Equity, Inclusion, and Accessibility (DEIA) Survey
FSI Focus Group Survey	Survey	FSI Focus Group Survey
FSI Heritage Speaker Survey	NA	FSI Heritage Speaker Survey
FSI LTU Language Test Score Report Feedback Form	NA	FSI LTU Language Test Score Report Feedback Form (Preview) Microsoft Forms
FSI SLS FSiLearn Landing Page Survey	Survey	FSI SLS FSiLearn Landing Page Survey
FSIEX Customer Relationship Survey	NA	FSIEX Customer Relationship Survey
Foreign Aff airs Manual & Handbook Usability Survey	NA	Foreign Aff airs Manual & Handbook Usability Survey
GPA Inclusion Survey	Survey	GPA Inclusion Survey
GPA Scouts Form	NA	Scouts Form
GPA Speaker Invitation Form	NA	NA
Human Services Survey for Medical Personnel	NA	Areas of Worklife Survey and MBI Human Services Survey for Medical Personnel
IMET Alumni Student Survey	NA	IMET Alumni Student Survey
IMET Senior PME Survey	NA	IMET Survey
IRM DEIA Training Effectiveness Questionnaire	Survey	Participant Impact Questionnaire
IRM-SWP Survey	Survey	IRM-SWP Survey
IRM-SWP webinar attendees survey	NA	IRM-SWP webinar attendees survey
Information Center Annual Patron Needs Survey 	NA	Information Center Annual Patron Survey
J-1 Summer Work Travel Participants Check-In	NA	SWT Check-in Survey
JSTP Biennial Survey	Survey	JSTP Biennial Survey
LTA Exit Survey	Survey	LTA Exit Survey
LTU Language Testing Exit Survey	NA, NA	LTU Language Testing Exit Survey Follow Up ,   LTU Language Testing Exit Survey
Language Testing and Assessment Exit Survey	NA	LTA Exit Survey
MED Feedback Survey	Survey	MED Feedback Survey
MED Mental Health Survey	NA	Mental Health Survey
MQ 131- Ask the Education Expert	Survey	MQ 131- Ask the Education Expert
MQ104 Regulations, Allowances & Finances in the Foreign Service Context Evaluation Survey	N/A	MQ104 Regulations, Allowances & Finances in the Foreign Service Context Evaluation Survey
MQ116 Protocol and U.S. Representation Abroad Evaluation Survey	NA	MQ116 Protocol and U.S. Representation Abroad Evaluation Survey
MQ117 Tax Considerations for the Foreign Service Community Evaluation Survey	NA	MQ117 Tax Considerations for the Foreign Service Community Evaluation Survey
MQ118 Educating Your Special Needs Child in the FA Community Evaluation Survey	NA	MQ118 Educating Your Special Needs Child in the FA Community Evaluation Survey
MQ119 Orientation to DOS for Foreign Affairs Evaluation Survey	NA	MQ119 Orientation to DOS for Foreign Affairs Evaluation Survey
MQ120 Foreign Service Orientation Survey	Survey	MQ120 Foreign Service Orientation Survey
MQ122 Ready, Set, Travel Evaluation Survey	NA	MQ122 Ready, Set, Travel Evaluation Survey
MQ133 Advocacy Tools for Parents of Children with Special Needs Evaluation Survey	NA	MQ133 Advocacy Tools for Parents of Children with Special Needs Evaluation Survey
MQ134 Educating Your FS Child: The Boarding School Option Evaluation Survey	NA	MQ134 Educating Your FS Child: The Boarding School Option Evaluation Survey
MQ250 Young Diplomats Overseas Preparation Evaluation Survey	NA	MQ250 Young Diplomats Overseas Preparation Evaluation Survey
MQ704 Employment Tools for EFMs Evaluation Survey	NA	MQ704 Employment Tools for EFMs Evaluation Survey
MQ705 International Development: Employment Options for EFMs Evaluation Survey	NA	MQ705 International Development: Employment Options for EFMs Evaluation Survey
MQ708 Virtual Work Opportunities for EFMs Evaluation Survey	NA	MQ708 Virtual Work Opportunities for EFMs Evaluation Survey
MQ802 Cross Cultural Communication Evaluation Survey	NA	MQ802 Cross Cultural Communication Evaluation Survey
MQ852 Personal Finances and Investment Evaluation Survey	NA	MQ852
MQ853 Managing Your Rental Property While Serving Overseas Evaluation Survey	NA	MQ853 Managing Your Rental Property While Serving Overseas Evaluation Survey
MQ854 Estate Planning for the Foreign Affairs Community Evaluation Survey	NA	MQ854 Estate Planning for the Foreign Affairs Community Evaluation Survey
MQ855 Traveling with Pets for the Foreign Affairs Community Evaluation Survey	NA	MQ855 Traveling with Pets for the Foreign Affairs Community Evaluation Survey
MQ860 Ask the Pet Expert Evaluation Survey	NA	MQ860 Ask the Pet Expert Evaluation Survey
MQ897 Ready, Set, Return to the U.S. Evaluation Survey	NA	MQ897 Ready, Set, Return to the U.S. Evaluation Survey
MQ911 Security Overseas Seminar	Survey	MQ911 Security Overseas Seminar
Mission Pakistan DEIA Survey	NA	Pakistan DEIA Survey
Mobile App User Satisfaction Survey	NA	Mobile App User Satisfaction Survey
OBC Experience Survey	NA	OBC Experience Survey
OPE Industry Partners Survey	NA	OPE Industry Partner Survey
One Health Symposium Post Survey	NA, NA	One Health Symposium Post Survey ,   One Health Research Symposium Registration
Online Passport Renewal Survey	NA	Online Passport Renewal Survey
PRM Application Feedback Questionnaire	Survey	PRM Application Feedback Questionnaire
Post Language Program Experience Survey	NA	Post Language Program Experience Survey
Professional Development Session Feedback	Survey	Professional Development Session Feedback
Psychological Safety Assessment	Survey	Psychological Safety Assessment
R/PPR Employee Satisfaction Survey	NA	R/PPR Employee Satisfaction Survey
Resilience Webinar Evaluation	Survey	Resilience Webinar Evaluation
SLS Basics Training Follow-Up	Survey	Basics Training Following Up
SLS Hybrid Instruction Pulse Survey	Survey	SLS Hybrid Instruction Pulse Survey
SLS-Russian End of Rotation Questionnaire	NA	SLS-Russian End of Rotation Questionnaire
SLS/PD Needs Analysis Interview Survey	Survey	SLS/PD Needs Analysis Interview Survey
SMP Women in IT Survey	Survey	SMP Women in IT Survey
Sanako Connect End of Training Survey	NA	Sanako Connect End of Training Survey
Sanako Student Satisfaction Survey	NA	Sanako Student Satisfaction Survey
School of Language Studies Hybrid Instruction Pulse Check	NA	SLS Hybrid Instruction Pulse Check
Spouse/Partner Toolkit Evaluation Survey	NA	Spouse/Partner Toolkit Evaluation Survey
Student and Advisor Visa Interview	Survey, NA	Student and Advisor Visa Interview Questions ,   Student and Advisor Visa Interview Screener Form
Subnational Diplomacy Unit Survey	NA	Subnational Diplomacy Unit at the Department of State Survey
Super Saturday Evaluation Survey	NA	Super Saturday Evaluation Survey
Survey for Global Guide	NA	Survey for Global Guide
TC Personal Safety and Security	NA	TC Personal Safety and Security
TC/Training MQ104 Evaluation Survey	Survey	Evaluation Survey
Teaching and Working in Education for EFMs Survey	Survey	Teaching and Working in Education for EFMs Survey
Third Party Contractor (TPC) Workplace Assessment	NA	TPC Workplace Assessment
Uses and Perceptions of the Annual International Religious Freedom Report from the US Department of State	NA	IRF Survey
Virtual Student Federal Service Internship Survey	NA	Virtual Student Federal Service Internship Survey
Virtual Support Room Satisfaction Survey	NA	Virtual Support Room Satisfaction Survey
Women's Health Working Group Survey	NA	Women's Health Working Group Survey

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	2,000,000	2,000,000	0	0	0	0
Annual Time Burden (Hours)	116,667	116,667	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $750,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/21/2021

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