Department of Justice Website Feedback

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⚠️ Notice: This information collection may be referencing outdated material.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 1103-0117 can be found here:

Documents and Forms

Document Name Document Type
Form 1103-0117 Department of Justice Website Feedback Form and Instruction
1103-0117 DOJ Customer Feedback DOJ Website_Your Message_Feedback_GEN IC.docx www.justice.gov/doj/webform/your-message-department-justice Form and Instruction

Information Collection (IC) Details

IC Title:	Department of Justice Website Feedback	Agency IC Tracking Number:	1103-0117

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
Form and Instruction	1103-0117	DOJ Customer Feedback	DOJ Website_Your Message_Feedback_GEN IC.docx	https://www.justice.gov/doj/webform/your-message-department-justice	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 18,250	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	18,250	18,250
Annual IC Time Burden (Hours)	152	152
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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