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Outreach Event Customer Satisfaction Comment Card
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 1405-0193
IC ID: 208399
OMB.report
STATE/AFA
OMB 1405-0193
ICR 201404-1405-002
IC 208399
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0193 can be found here:
2024-02-07 - Extension without change of a currently approved collection
2022-08-05 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form SV-2013-0004
Outreach Event Customer Satisfaction Comment Card
Form and Instruction
SV-2013-0004 Outreach Event Customer Satisfaction Comment Card
Outreach Comment Card.doc
Form and Instruction
Generic Clearance Submission Template.pdf
Passport Generic Clearance Submission Template
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Outreach Event Customer Satisfaction Comment Card
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-2013-0004
Outreach Event Customer Satisfaction Comment Card
Outreach Comment Card.doc
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Border and Transportation Security
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,125
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,125
0
0
0
0
1,125
Annual IC Time Burden (Hours)
38
0
0
0
0
38
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Passport Generic Clearance Submission Template
Generic Clearance Submission Template.pdf
08/28/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.