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
LTU_Exit_Survey_Follow-up	Form and Instruction	New	Available
Form Survey FSI LTU Language Test Score Feedback Form	Form and Instruction	New	Available
Form Survey FSI LTU Language Test Score Feedback Form	Form and Instruction	New	Repair queued
Form Survey FSIEX Customer Relationship Survey	Form and Instruction	New	Available
Form Survey FSIEX Customer Relationship Survey	Form and Instruction	New	Repair queued
Form Survey LTU Language Test Exit Survey	Form and Instruction	New	Available
Form Survey LTU Language Test Exit Survey	Form and Instruction	New	Repair queued
TPC Workplace Assessment	Form	Unchanged	Available
Third Party Contractor (TPC) Workplace Assessment	Form	Unchanged	Available
Sanako Student Satisfaction Survey	Form and Instruction	Unchanged	Available
Sanako Student Satisfaction Survey	Form and Instruction	Unchanged	Repair queued
Sanako Connect End of Training Survey	Form and Instruction	Unchanged	Available
Sanako Connect End of Training Survey	Form and Instruction	Unchanged	Repair queued
Mobile App User Satisfaction Survey	Form and Instruction	Unchanged	Available
Mobile App User Satisfaction Survey	Form and Instruction	Unchanged	Repair queued
Virtual Support Room Satisfaction Survey	Form and Instruction	Unchanged	Available
Virtual Support Room Satisfaction Survey	Form and Instruction	Unchanged	Repair queued
Alpha Beta Survey	Form and Instruction	Unchanged	Repair queued
Alpha Beta Survey	Form and Instruction	Unchanged	Repair queued
Information Center Annual Patron Survey	Form and Instruction	Unchanged	Available
Information Center Annual Patron Needs Survey	Form and Instruction	Unchanged	Repair queued
Online Passport Renewal Survey	Form and Instruction	Unchanged	Available
Online Passport Renewal Survey	Form and Instruction	Unchanged	Repair queued
Foreign Aff airs Manual & Handbook Usability Survey	Form and Instruction	Unchanged	Available
Foreign Aff airs Manual & Handbook Usability Survey	Form and Instruction	Unchanged	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	Repair queued
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
Personal Safety and Security Questionnaire DS-4183 Submission.docx	Supplementary Document	Uploaded 2022-07-01	Available
LTU_Exit_Survey_Follow-up.pdf	Supplementary Document	Uploaded 2022-07-01	Repair queued
DS-4183 Generic Clearance Submission LTU Exit Survey 2022.docx	Supplementary Document	Uploaded 2022-07-01	Repair queued
DS-4183 Generic Clearance Submission.docx	Supplementary Document	Uploaded 2022-07-01	Missing upstream
DS-4183 Generic Clearance Submission.docx	Supplementary Document	Uploaded 2022-07-01	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	Missing upstream
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	Repair queued
Generic Clearance Submission_Bureau of Public Affairs_USDC Exhibit User Tester Survey.doc	Supplementary Document	Uploaded 2018-04-17	Missing upstream
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	Available
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
254464	FSI LTU Language Test Score Feedback Form	Form and Instruction	New	LTU_Exit_Survey_Follow-up
254464	FSI LTU Language Test Score Feedback Form	Form and Instruction	New	FSI LTU Language Test Score Feedback Form
254464	FSI LTU Language Test Score Feedback Form	Form and Instruction	New
254462	FSIEX Customer Relationship Survey	Form and Instruction	New	FSIEX Customer Relationship Survey
254462	FSIEX Customer Relationship Survey	Form and Instruction	New
254461	LTU Language Test Exit Survey	Form and Instruction	New	LTU Language Test Exit Survey
254461	LTU Language Test Exit Survey	Form and Instruction	New
252947	Personal Safety & Security Questionnaire	Other-Survey	New
252713	Third Party Contractor (TPC) Workplace Assessment	Form	Unchanged	TPC Workplace Assessment
252713	Third Party Contractor (TPC) Workplace Assessment	Form	Unchanged
250873	Sanako Student Satisfaction Survey	Form and Instruction	Unchanged	Sanako Student Satisfaction Survey
250873	Sanako Student Satisfaction Survey	Form and Instruction	Unchanged
250872	Sanako Connect End of Training Survey	Form and Instruction	Unchanged	Sanako Connect End of Training Survey
250872	Sanako Connect End of Training Survey	Form and Instruction	Unchanged
250871	Mobile App User Satisfaction Survey	Form and Instruction	Unchanged	Mobile App User Satisfaction Survey
250871	Mobile App User Satisfaction Survey	Form and Instruction	Unchanged
250870	Virtual Support Room Satisfaction Survey	Form and Instruction	Unchanged	Virtual Support Room Satisfaction Survey
250870	Virtual Support Room Satisfaction Survey	Form and Instruction	Unchanged
250868	Alpha Beta Survey	Form and Instruction	Unchanged	Alpha Beta Survey
250868	Alpha Beta Survey	Form and Instruction	Unchanged
250867	Information Center Annual Patron Needs Survey	Form and Instruction	Unchanged	Information Center Annual Patron Survey
250867	Information Center Annual Patron Needs Survey	Form and Instruction	Unchanged
250866	DECCS User Group	Other-Focus Group	Unchanged
250629	Online Passport Renewal Survey	Form and Instruction	Unchanged	Online Passport Renewal Survey
250629	Online Passport Renewal Survey	Form and Instruction	Unchanged
250628	Foreign Aff airs Manual & Handbook Usability Survey	Form and Instruction	Unchanged	Foreign Aff airs Manual & Handbook Usability Survey
250628	Foreign Aff airs Manual & Handbook Usability Survey	Form and Instruction	Unchanged
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: 202204-1405-005
Status: Historical Inactive	Previous ICR Reference No: 202112-1405-002
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: Improperly submitted and continue	Conclusion Date: 08/05/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/05/2022
Terms of Clearance: Agency will resubmit this information collection as a "Generic IC."

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: 18

table that charts list of burden

IC Title	Form No.	Form Name
Alpha Beta Survey	NA	Alpha Beta Survey
CSO Diversity and Inclusion Survey	NA	CSO Diversity and Inclusion Survey
DECCS User Group
FSI LTU Language Test Score Feedback Form	Survey, NA	FSI LTU Language Test Score Feedback Form ,   LTU_Exit_Survey_Follow-up
FSIEX Customer Relationship Survey	Survey	FSIEX Customer Relationship Survey
Foreign Aff airs Manual & Handbook Usability Survey	NA	Foreign Aff airs Manual & Handbook Usability Survey
IMET Senior PME Survey	NA	IMET 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
LTU Language Test Exit Survey	Survey	LTU Language Test Exit Survey
Mobile App User Satisfaction Survey	NA	Mobile App User Satisfaction Survey
Online Passport Renewal Survey	NA	Online Passport Renewal Survey
Personal Safety & Security Questionnaire
Sanako Connect End of Training Survey	NA	Sanako Connect End of Training Survey
Sanako Student Satisfaction Survey	NA	Sanako Student Satisfaction Survey
Survey for Global Guide	NA	Survey for Global Guide
Third Party Contractor (TPC) Workplace Assessment	NA	TPC Workplace Assessment
Virtual Support Room Satisfaction Survey	NA	Virtual Support Room Satisfaction Survey

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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: 07/05/2022

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