OMB control number

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

OMB 1405-0193 · STATE/AFA.

OMB 1405-0193

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.

The latest form for Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery expires 2027-03-31 and is listed under ICR 202402-1405-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form Survey ECS SurveyForm and Instruction
MQ120 Foreign Service Spouse and Partner Orientation Evaluation SurveyForm and Instruction
Form Survey MQ712 SurveyForm and Instruction
Form Survey Gilman Scholars Tour SurveyForm and Instruction
Form Survey Take Your Child to Work Day SurveyForm and Instruction
Form Survey Mental Health SurveysForm and Instruction
Supporting Statement_1405-0193.docxSupporting Statement A
12316_PublishedFR_2-2-2024.pdf Supplementary Document
12159_PublishedFR_11-14-2023.pdf Supplementary Document
Online Passport Renewal Survey - Limited Release Users.docx Justification for No Material/Nonsubstantive Change
Generic Clearance Submission Template.docx Supplementary Document
Survey Clearance Submission OMB Control Number 1405-0193.docx Supplementary Document
Clearance Submission Template- Former Consular Fellows.doc Supplementary Document
Webinars SS.docx Supplementary Document
Beta Testing SS.doc Supplementary Document
Generic Clearance Submission_Bureau of Public Affairs_Foreign Press Center Survey.doc Supplementary Document
Generic Clearance Submission_Bureau of Public Affairs Product Use Survey.doc Supplementary Document
Generic Clearance Submission_Bureau of Public Affairs_USDC Simulation Survey.doc Supplementary Document
Generic Clearance Submission_Bureau of Public Affairs_USDC Front End Evaluation Interview Guide.doc Supplementary Document
Generic Clearance Submission_Bureau of Public Affairs_USDC Exhibit User Tester Survey.doc Supplementary Document
Generic Clearance Submission_Bureau of Public Affairs_USDC Audience Survey.doc Supplementary Document
Generic Clearance Submission_Bureau of Public Affairs_USDC Audience Experience with Exhibits .doc Supplementary Document
Generic Clearance Submission_Bureau of Public Affairs_Office of Public Engagement Survey.doc Supplementary Document
State Kiosk - Generic Clearance Submission Template State Kiosk Survey (6-2015).pdf Supplementary Document
National Visa Center - Generic Clearance Submission Template (NVC 6-2015).pdf Supplementary Document
PPT Feedback - Generic Clearance Submission Template PPT Survey (4-2015).pdf Supplementary Document
Feedback Survey_SV-2016-0002.pdf Supplementary Document
Generic Clearance Submission DTAG Questionnaire.doc Supplementary Document
Nonimmigrant Visa - Generica Clearance Submission.pdf Supplementary Document
ACS - Generic Clearance Submission Template ACS (4-2015) survey.pdf Supplementary Document
Immigrant Visa - Generic Clearance Submission Template Immigrant Visa Survey (7-2015).pdf Supplementary Document
Legal Authorities for Customer Service Surveys - Copy.docx Supplementary Document
Part B - Supporting Statement for Paperwork Reduction Act Generic Information Collection Submissions for.docxSupporting Statement B
ECS Survey Form and Instruction
MQ120 Foreign Service Spouse and Partner Orientation Evaluation Survey Form and Instruction
MQ712 Survey Form and Instruction
Gilman Scholars Tour Survey Form and Instruction
Take Your Child to Work Day Survey Form and Instruction
Mental Health Surveys Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202402-1405-001 Extension without change of a currently approved collection 2024-02-07 Approved without change
202208-1405-001 Revision of a currently approved collection 2022-08-05 Improperly submitted and continue
202204-1405-005 No material or nonsubstantive change to a currently approved collection 2022-07-05 Improperly submitted and continue
202112-1405-002 No material or nonsubstantive change to a currently approved collection 2021-12-21 Approved without change
202105-1405-003 Revision of a currently approved collection 2021-06-16 Approved without change
202104-1405-002 Revision of a currently approved collection 2021-04-07 Approved without change
202012-1405-003 Extension without change of a currently approved collection 2020-12-22
201804-1405-001 Extension without change of a currently approved collection 2018-04-17 Approved without change
201803-1405-004 Extension without change of a currently approved collection 2018-03-09 Withdrawn and continue
201712-1405-007 No material or nonsubstantive change to a currently approved collection 2017-12-21 Approved without change
201712-1405-002 No material or nonsubstantive change to a currently approved collection 2017-12-13 Approved with change
201712-1405-001 No material or nonsubstantive change to a currently approved collection 2017-12-12 Improperly submitted and continue
201707-1405-008 No material or nonsubstantive change to a currently approved collection 2017-07-27 Approved without change
201707-1405-004 Extension without change of a currently approved collection 2017-07-26 Improperly submitted and continue
201706-1405-002 Revision of a currently approved collection 2017-06-27 Approved without change
201611-1405-003 No material or nonsubstantive change to a currently approved collection 2016-11-21 Approved without change
201602-1405-012 No material or nonsubstantive change to a currently approved collection 2016-02-17 Approved without change
201504-1405-004 No material or nonsubstantive change to a currently approved collection 2015-04-27 Approved without change
201405-1405-002 Revision of a currently approved collection 2014-05-20 Approved without change
201404-1405-002 No material or nonsubstantive change to a currently approved collection 2014-04-07 Approved without change
201202-1405-005 No material or nonsubstantive change to a currently approved collection 2012-02-21 Approved without change
201107-1405-011 No material or nonsubstantive change to a currently approved collection 2011-07-25 Approved without change
201103-1405-004 New collection (Request for a new OMB Control Number) 2011-03-16 Approved without change

OMB Details

Mental Health Surveys

Federal Enterprise Architecture: Workforce Management - Training and Employment

Information collection instruments
FormNameElectronic accessType
Form SurveyMental Health SurveysFillable FileableForm and instruction
Form SurveyMental Health SurveysFillable FileableForm and instruction
Form SurveyMental Health SurveysFillable FileableForm and instruction
Form SurveyMental Health SurveysFillable FileableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.