ISCD Feedback Questionnaire

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⚠️ Notice: This information collection may be referencing outdated material.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 1670-0027 can be found here:

Documents and Forms

Document Name Document Type
ISCD Feedback Questionnaire Form
ISCD Feedback Questionnaire 12.30.15 ISCD Feedback Questionnaire 12.30.15.pdf Form
ISCD Feedback Questionnaire 12.30.15 Survey Monkey Scree ISCD Feedback Questionnaire 12.30.15 Survey Monkey Screen Shots.docx Form
Gen IC Mini Supporting Statement ISCD Questionnaire.pdf Gen IC Mini Supporting Statement ISCD Questionnaire IC Document

Information Collection (IC) Details

IC Title:	ISCD Feedback Questionnaire	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
Form	NA	ISCD Feedback Questionnaire 12.30.15	ISCD Feedback Questionnaire 12.30.15.pdf		No		Paper Only
Form	NA	ISCD Feedback Questionnaire 12.30.15 Survey Monkey Screen Shots	ISCD Feedback Questionnaire 12.30.15 Survey Monkey Screen Shots.docx		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 34,293	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 75 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	34,293	34,293
Annual IC Time Burden (Hours)	2,858	2,858
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Gen IC Mini Supporting Statement ISCD Questionnaire	Gen IC Mini Supporting Statement ISCD Questionnaire.pdf	09/02/2016

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