Improving Customer Experience: OMB Circular A-11, Section 280 Implementation.

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 1103-0120 Teleporter Survey	Form	New	Available
ICR_Teleporter_User_Feedback_Survey_2026 (1).docx	Supplementary Document	Uploaded 2026-09-30	Available
ICR Template_A11 Section 280 Clearance v 5 13 24.docx	Supplementary Document	Uploaded 2024-07-25	Available
Revised Supporting Statement A for DOJ_A 11 Section 280 Improving Customer Experience (F) v 6 6 24.docx	Supplementary Document	Uploaded 2024-07-24	Available
A11-280.pdf	Supplementary Document	Uploaded 2021-08-10	Available
Supporting Statement B for DOJ_A 11 Section 280 Improving Customer Experience.docx	Supporting Statement B	Uploaded 2024-07-24	Available
Revised Supporting Statement A for DOJ_A 11 Section 280 Improving Customer Experience (F) v 6 6 24.docx	Supporting Statement A	Uploaded 2024-07-24	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
282680	Teleporter Survey	Form	New	Teleporter Survey

ICR Details

OMB Control No: 1103-0120	ICR Reference No: 202609-1103-002
Status: Received in OIRA	Previous ICR Reference No: 202407-1103-001
Agency/Subagency: DOJ/DOJADM	Agency Tracking No: 1103-NEW
Title: Improving Customer Experience: OMB Circular A-11, Section 280 Implementation.
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/30/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	08/31/2027
Responses	2,001,550	2,001,550
Time Burden (Hours)	101,125	101,125
Cost Burden (Dollars)	0	0

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Abstract: This proposed information collection activity provides a means to garner customer and stakeholder feedback in an efficient, timely manner in accordance with the Administration’s commitment to improving customer service delivery as discussed in Section 280 of OMB Circular A-11 at https://www.performance.gov/cx/a11-280.pdf.

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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:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 43874	05/20/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 58767	07/19/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Teleporter Survey	1103-0120	Teleporter Survey

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ICR Summary of Burden

table that charts list of burden

	Total Request	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	2,001,550	2,001,550	0	0	0	0
Annual Time Burden (Hours)	101,125	101,125	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:

Does this IC contain surveys, censuses, or employ statistical methods? No

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: 09/30/2026

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