Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
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	Repair queued
Form Survey LTU Language Test Exit Survey	Form and Instruction	New	Missing upstream
Third Party Contractor (TPC) Workplace Assessment	Form	Unchanged	Available
Sanako Student Satisfaction Survey	Form and Instruction	Unchanged	Repair queued
Sanako Connect End of Training Survey	Form and Instruction	Unchanged	Repair queued
Mobile App User Satisfaction Survey	Form and Instruction	Unchanged	Missing upstream
Virtual Support Room Satisfaction Survey	Form and Instruction	Unchanged	Repair queued
Alpha Beta Survey	Form and Instruction	Unchanged	Missing upstream
Information Center Annual Patron Needs Survey	Form and Instruction	Unchanged	Missing upstream
Online Passport Renewal Survey	Form and Instruction	Unchanged	Missing upstream
Foreign Aff airs Manual & Handbook Usability Survey	Form and Instruction	Unchanged	Repair queued
CSO Diversity and Inclusion Survey	Form and Instruction	Unchanged	Missing upstream
Survey for Global Guide	Form and Instruction	Unchanged	Repair queued
J-1 Summer Work Travel Participants Check-In	Form and Instruction	Unchanged	Missing upstream
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	Repair queued
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	Missing upstream
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	Missing upstream
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	Missing upstream
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	Missing upstream
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
254462	FSIEX Customer Relationship Survey	Form and Instruction	New
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
250873	Sanako Student Satisfaction Survey	Form and Instruction	Unchanged
250872	Sanako Connect End of Training Survey	Form and Instruction	Unchanged
250871	Mobile App User Satisfaction Survey	Form and Instruction	Unchanged
250870	Virtual Support Room Satisfaction Survey	Form and Instruction	Unchanged
250868	Alpha Beta Survey	Form and Instruction	Unchanged
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
250628	Foreign Aff airs Manual & Handbook Usability Survey	Form and Instruction	Unchanged
247932	CSO Diversity and Inclusion Survey	Form and Instruction	Unchanged
247470	Survey for Global Guide	Form and Instruction	Unchanged
247468	J-1 Summer Work Travel Participants Check-In	Form and Instruction	Unchanged
247467	IMET Senior PME Survey	Form and Instruction	Unchanged

ICR Details

OMB Control No:	ICR Reference No:
Status:	Previous ICR Reference No:
Agency/Subagency:	Agency Tracking No:
Title:
Type of Information Collection:	Common Form ICR:
Type of Review Request:	Date Received in OIRA:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract:

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR?

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Number of Information Collection (IC) in this ICR: 0

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ICR Summary of Burden

table that charts list of burden

	Total	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	0	0	0	0	0	0
Annual Time Burden (Hours)	0	0	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion:

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion:

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods?

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.    

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.    

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?

Is this ICR related to the Pandemic Response?

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Common Form ICR: 

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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:

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