American Citizens Services Customer Service Satisfaction Survey

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0193 can be found here:

Documents and Forms

Document Name Document Type
Form SV-2013-0003 American Citizens Services Customer Service Satisfaction Survey Form and Instruction
SV-2013-0003 American Citizens Services Customer Service Satisfaction ACS Customer Satisfaction Survey.pdf Form and Instruction
Generic Clearance Submission Template ACS Customer Satisfaction Survey.pdf Generic Clearance Submission Template ACS Customer Satisfaction Survey IC Document

Information Collection (IC) Details

IC Title:	American Citizens Services Customer Service Satisfaction Survey	Agency IC Tracking Number:

IC Status: Unchanged

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	SV-2013-0003	American Citizens Services Customer Service Satisfaction Survey	ACS Customer Satisfaction Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Previously Approved
Annual Number of Responses for this IC	60,000	60,000
Annual IC Time Burden (Hours)	5,000	5,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Generic Clearance Submission Template ACS Customer Satisfaction Survey	Generic Clearance Submission Template ACS Customer Satisfaction Survey.pdf	04/10/2013

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