MQ712 Survey

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

Documents and Forms

Document Name Document Type
Form Survey MQ712 Survey Form and Instruction
Survey MQ712 Survey MQ712_Maintaining_your_Identity_as_a_Globally_Mobile_EFMMOH survey.pdf Form and Instruction
DS-4183 Clearance Submission MQ712.docx DS-4183 IC Document

Information Collection (IC) Details

IC Title:	MQ712 Survey	Agency IC Tracking Number:

IC Status: New

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
Form and Instruction	Survey	MQ712 Survey	MQ712_Maintaining_your_Identity_as_a_Globally_Mobile_EFMMOH survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title: MQ712 Survey	FR Citation: 89 FR 12316

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
DS-4183	DS-4183 Clearance Submission MQ712.docx	03/12/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.