American Citizen Services Applicant 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⚠️ Notice: This information collection may be referencing outdated material.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 1405-0193 can be found here:

Documents and Forms

Document Name Document Type
(EN-CN) U S Department of State American Citizen Services Applicant Satisfactio... (v).docx Other-Survey
Justification for Non Substantive Change (Chinese).docx Non-substantive Change Justification IC Document

Information Collection (IC) Details

IC Title:	AMERICAN CITIZEN SERVICES APPLICANT 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			(EN-CN) U S Department of State American Citizen Services Applicant Satisfactio... (v).docx		No		Fillable Printable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	0	0
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Non-substantive Change Justification	Justification for Non Substantive Change (Chinese).docx	11/21/2016

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