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Passport Premier Acceptance Facility Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 1405-0193
IC ID: 211667
OMB.report
STATE/AFA
OMB 1405-0193
ICR 201504-1405-004
IC 211667
( )
⚠️ Notice: This information collection may be referencing outdated material.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-2014-0001
Passport Premier Acceptance Facility Survey
Form and Instruction
SV-2014-0001 Premier Acceptance Facility Survey-ENGLISH
Premier Acceptance Facility Survey-ENGLISH (5-2014).docx
Form and Instruction
SV-2014-0001 Premier Acceptance Facility Survey-SPANISH
Premier Acceptance Facility Survey-SPANISH (5-2014).docx
Form and Instruction
Generic Clearance Submission Template (PPT Acceptance 3-2014).pdf
Generic Clearance Submission Template
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Passport Premier Acceptance Facility 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-2014-0001
Premier Acceptance Facility Survey-ENGLISH
Premier Acceptance Facility Survey-ENGLISH (5-2014).docx
No
Paper Only
Form and Instruction
SV-2014-0001
Premier Acceptance Facility Survey-SPANISH
Premier Acceptance Facility Survey-SPANISH (5-2014).docx
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:
16,551
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
16,551
0
0
0
0
16,551
Annual IC Time Burden (Hours)
828
0
0
0
0
828
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Generic Clearance Submission Template
Generic Clearance Submission Template (PPT Acceptance 3-2014).pdf
05/20/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.