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 DDTC’s Speaker Request Form	Form and Instruction	New	Repair queued
Form Survey DDTC’s Speaker Request Form	Form and Instruction	New	Repair queued
Form Survey DDTC’s Speaker Request Form	Form and Instruction	New	Repair queued
Form Survey Direct Line Webinars Survey	Form and Instruction	New	Repair queued
Form Survey Manila Customer Service Survey	Form and Instruction	New	Repair queued
Form Survey ILR Committee Feedback	Form and Instruction	New	Repair queued
Form Survey FAPD Applicant Survey	Form and Instruction	New	Repair queued
Form Survey Exit Survey	Form and Instruction	New	Repair queued
Form Survey Follow Up Survey	Form and Instruction	New	Repair queued
Form Survey Heritage Speaker Survey	Form and Instruction	New	Repair queued
Form Survey NMAD Patron Interview Survey	Form and Instruction	New	Repair queued
Form Survey CSO DEIA Survey	Form and Instruction	New	Repair queued
Form Survey NMAD Patron Survey	Form and Instruction	New	Repair queued
Form Survey RPPRREU Expo Customer Feedback	Form and Instruction	New	Repair queued
Form Application DDTC Speaker Form	Form and Instruction	New	Repair queued
Form Survey Language Teaching	Form and Instruction	New	Repair queued
Form Survey DT-SWP Survey	Form and Instruction	New	Repair queued
Form Survey EORQ for QB Survey	Form and Instruction	New	Repair queued
Form Survey MQ 703 Survey	Form and Instruction	New	Repair queued
Form Survey FSI DEIA Pulse Check Survey	Form and Instruction	New	Repair queued
Form Survey FSI PLI Workshop	Form and Instruction	New	Repair queued
Form Survey RPPR Employee Survey	Form and Instruction	New	Repair queued
DT Experience Assessment	Form and Instruction	New	Repair queued
Form Survey DEIA Idea Lens Survey	Form and Instruction	New	Repair queued
MQ220-MQ230 Survey	Form	New	Repair queued
SAIT Level 3 Survey Consolidated	Form and Instruction	New	Repair queued
ET Course Pilot Survey	Form and Instruction	New	Repair queued
Enterprise Technology End of Course Survey	Form and Instruction	New	Repair queued
BT End of Course Survey	Form and Instruction	New	Repair queued
BT Course Pilot Survey	Form and Instruction	New	Repair queued
Pakistan DEIA Annual Survey Questionnaire	Form and Instruction	New	Repair queued
Form Survey FSI Sim Survey Client	Form and Instruction	New	Repair queued
Form Survey FSI Sim Survey Learner	Form and Instruction	New	Repair queued
Form Survey Dublin Consular Survey	Form and Instruction	New	Repair queued
Form Survey Mayor and Governor Survey	Form and Instruction	New	Repair queued
Form Survey Mayor and Governor Survey	Form and Instruction	New	Repair queued
Form Survey Mayor and Governor Survey	Form and Instruction	New	Repair queued
Form Survey ECS Survey	Form and Instruction	New	Available
MQ120 Foreign Service Spouse and Partner Orientation	Form and Instruction	New	Available
Form Survey MQ712 Survey	Form and Instruction	New	Available
Form Survey Gilman Scholars Tour Survey	Form and Instruction	New	Available
Form Survey Take Your Child to Work Day Survey	Form and Instruction	New	Available
Form Survey Take Your Child to Work Day Survey	Form and Instruction	New	Available
Form Survey Mental Health Surveys	Form and Instruction	New	Available
Form Survey Mental Health Surveys	Form and Instruction	New	Available
Form Survey Mental Health Surveys	Form and Instruction	New	Available
Form Survey Mental Health Surveys	Form and Instruction	New	Available
Supporting Statement_1405-0193.docx	Supporting Statement A	Uploaded 2024-02-05	Repair queued
12316_PublishedFR_2-2-2024.pdf	Supplementary Document	Uploaded 2024-02-05	Repair queued
12159_PublishedFR_11-14-2023.pdf	Supplementary Document	Uploaded 2024-02-05	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	Repair queued
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
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
281702	DDTC's Speaker Request Form	Form and Instruction	New	DDTC’s Speaker Request Form
281702	DDTC's Speaker Request Form	Form and Instruction	New	DDTC’s Speaker Request Form
281702	DDTC's Speaker Request Form	Form and Instruction	New	DDTC’s Speaker Request Form
279996	Direct Line Webinars	Form and Instruction	New	Direct Line Webinars Survey
278872	Manila Customer Service Survey	Form and Instruction	New	Manila Customer Service Survey
275177	ILR Committee Feedback	Form and Instruction	New	ILR Committee Feedback
273681	FAPD Applicant Survey	Form and Instruction	New	FAPD Applicant Survey
273557	FSI Heritage Speaker Surveys	Form and Instruction	New	Exit Survey
273557	FSI Heritage Speaker Surveys	Form and Instruction	New	Follow Up Survey
273557	FSI Heritage Speaker Surveys	Form and Instruction	New	Heritage Speaker Survey
271853	NMAD Patron Interview Survey	Form and Instruction	New	NMAD Patron Interview Survey
271720	CSO DEIA Survey	Form and Instruction	New	CSO DEIA Survey
271578	NMAD Patron Survey	Form and Instruction	New	NMAD Patron Survey
271278	RPPRREU Expo Customer Feedback	Form and Instruction	New	RPPRREU Expo Customer Feedback
271247	DDTC Speaker Form	Form and Instruction	New	DDTC Speaker Form
270767	Language Teaching	Form and Instruction	New	Language Teaching
270138	DECCS User Group	Other-Focus Group	New
269736	DT-SWP Survey	Form and Instruction	New	DT-SWP Survey
269735	EORQ for QB Survey	Form and Instruction	New	EORQ for QB Survey
269678	MQ 703 Survey	Form and Instruction	New	MQ 703 Survey
269031	FSI DEIA Pulse Check Survey	Form and Instruction	New	FSI DEIA Pulse Check Survey
268942	FSI PLI Workshop	Form and Instruction	New	FSI PLI Workshop
267890	RPPR Employee Survey	Form and Instruction	New	RPPR Employee Survey
267836	DT DEIA Experience Assessment	Form and Instruction	New	DT Experience Assessment
267465	DEIA Idea Lens Survey	Form and Instruction	New	DEIA Idea Lens Survey
266690	MQ220 - MQ230	Form	New	MQ220-MQ230 Survey
266584	SAIT Level 3 Survey Consolidated	Form and Instruction	New	SAIT Level 3 Survey Consolidated
266583	ET Course Pilot Survey	Form and Instruction	New	ET Course Pilot Survey
266582	Enterprise Technology End of Course Survey	Form and Instruction	New	Enterprise Technology End of Course Survey
266581	Business Technology - End of Course Survey	Form and Instruction	New	BT End of Course Survey
266580	Business Tech Course Pilot Survey	Form and Instruction	New	BT Course Pilot Survey
266543	Mission Pakistan Diversity, Equity, Inclusion and Accessibility Staff Survey	Form and Instruction	New	Pakistan DEIA Annual Survey Questionnaire
266404	FSI Sim Survey Client	Form and Instruction	New	FSI Sim Survey Client
266403	FSI Sim Survey Learner	Form and Instruction	New	FSI Sim Survey Learner
266125	Dublin Consular Survey	Form and Instruction	New	Dublin Consular Survey
266124	Mayor and Governor Survey	Form and Instruction	New	Mayor and Governor Survey
266124	Mayor and Governor Survey	Form and Instruction	New	Mayor and Governor Survey
266124	Mayor and Governor Survey	Form and Instruction	New	Mayor and Governor Survey
266020	ECS Survey	Form and Instruction	New	ECS Survey
266006	MQ120 Foreign Service Spouse and Partner Orientation Evaluation Survey	Form and Instruction	New	MQ120 Foreign Service Spouse and Partner Orientation
265932	MQ712 Survey	Form and Instruction	New	MQ712 Survey
265931	Gilman Scholars Tour Survey	Form and Instruction	New	Gilman Scholars Tour Survey
265930	Take Your Child to Work Day Survey	Form and Instruction	New	Take Your Child to Work Day Survey
265930	Take Your Child to Work Day Survey	Form and Instruction	New	Take Your Child to Work Day Survey
265929	Mental Health Surveys	Form and Instruction	New	Mental Health Surveys
265929	Mental Health Surveys	Form and Instruction	New	Mental Health Surveys
265929	Mental Health Surveys	Form and Instruction	New	Mental Health Surveys
265929	Mental Health Surveys	Form and Instruction	New	Mental Health Surveys

ICR Details

OMB Control No: 1405-0193	ICR Reference No: 202402-1405-001
Status: Active	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: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/12/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/07/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2027	36 Months From Approved	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:
	88 FR 78090	11/14/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 7434	02/02/2024
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 38

table that charts list of burden

IC Title	Form No.	Form Name
Business Tech Course Pilot Survey	NA	BT Course Pilot Survey
Business Technology - End of Course Survey	NA	BT End of Course Survey
CSO DEIA Survey	Survey	CSO DEIA Survey
DDTC Speaker Form	Application	DDTC Speaker Form
DDTC's Speaker Request Form	Survey, Survey, Survey	DDTC’s Speaker Request Form ,   DDTC’s Speaker Request Form ,   DDTC’s Speaker Request Form
DECCS User Group
DEIA Idea Lens Survey	Survey	DEIA Idea Lens Survey
DT DEIA Experience Assessment	NA	DT Experience Assessment
DT-SWP Survey	Survey	DT-SWP Survey
Direct Line Webinars	Survey	Direct Line Webinars Survey
Dublin Consular Survey	Survey	Dublin Consular Survey
ECS Survey	Survey	ECS Survey
EORQ for QB Survey	Survey	EORQ for QB Survey
ET Course Pilot Survey	NA	ET Course Pilot Survey
Enterprise Technology End of Course Survey	NA	Enterprise Technology End of Course Survey
FAPD Applicant Survey	Survey	FAPD Applicant Survey
FSI DEIA Pulse Check Survey	Survey	FSI DEIA Pulse Check Survey
FSI Heritage Speaker Surveys	Survey, Survey, Survey	Heritage Speaker Survey ,   Follow Up Survey ,   Exit Survey
FSI PLI Workshop	Survey	FSI PLI Workshop
FSI Sim Survey Client	Survey	FSI Sim Survey Client
FSI Sim Survey Learner	Survey	FSI Sim Survey Learner
Gilman Scholars Tour Survey	Survey	Gilman Scholars Tour Survey
ILR Committee Feedback	Survey	ILR Committee Feedback
Language Teaching	Survey	Language Teaching
MQ 703 Survey	Survey	MQ 703 Survey
MQ120 Foreign Service Spouse and Partner Orientation Evaluation Survey	NA	MQ120 Foreign Service Spouse and Partner Orientation
MQ220 - MQ230	NA	MQ220-MQ230 Survey
MQ712 Survey	Survey	MQ712 Survey
Manila Customer Service Survey	Survey	Manila Customer Service Survey
Mayor and Governor Survey	Survey, Survey, Survey	Mayor and Governor Survey ,   Mayor and Governor Survey ,   Mayor and Governor Survey
Mental Health Surveys	Survey, Survey, Survey, Survey	Mental Health Surveys ,   Mental Health Surveys ,   Mental Health Surveys ,   Mental Health Surveys
Mission Pakistan Diversity, Equity, Inclusion and Accessibility Staff Survey	NA	Pakistan DEIA Annual Survey Questionnaire
NMAD Patron Interview Survey	Survey	NMAD Patron Interview Survey
NMAD Patron Survey	Survey	NMAD Patron Survey
RPPR Employee Survey	Survey	RPPR Employee Survey
RPPRREU Expo Customer Feedback	Survey	RPPRREU Expo Customer Feedback
SAIT Level 3 Survey Consolidated	NA	SAIT Level 3 Survey Consolidated
Take Your Child to Work Day Survey	Survey, Survey	Take Your Child to Work Day Survey ,   Take Your Child to Work Day 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: 02/07/2024

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