Model Ports Customer 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⚠️ Notice: This information collection may be referencing outdated material.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 1651-0136 can be found here:

Documents and Forms

Document Name Document Type
Model Ports Traveler Satisfaction Survey Instrument.doc Other-Survey
Model Ports Traveler Satisfaction Survey Submission Form.docx Model Ports Traveler Satisfaction Survey Submission Form IC Document

Information Collection (IC) Details

IC Title:	Model Ports Customer Satisfaction 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
Other-Survey			Model Ports Traveler Satisfaction Survey Instrument.doc		No		Paper Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25,000	25,000
Annual IC Time Burden (Hours)	2,083	2,083
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Model Ports Traveler Satisfaction Survey Submission Form	Model Ports Traveler Satisfaction Survey Submission Form.docx	12/03/2014

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