Information Collection

Customer Satisfaction Survey

IC 218904 under ICR 201511-1601-001 · OMB 1601-0021.

Documents and Forms

Document Name Document Type
Form DHS-NEW Customer Satisfaction Survey Form and Instruction
DHS-NEW Customer Satisfaction Survey Ombudsman Customer Satisfaction Survey DHS Form.pdf www.dhs.gov/topic/cis-ombudsman Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Customer Satisfaction Survey	Agency IC Tracking Number:

Is this a Common Form? No		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	DHS-NEW	Customer Satisfaction Survey	Ombudsman Customer Satisfaction Survey DHS Form.pdf	http://www.dhs.gov/topic/cis-ombudsman	Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,800	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	8,800	8,800
Annual IC Time Burden (Hours)	4,400	4,400
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.