OMB control number

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

OMB 1405-0193 · STATE/AFA.

OMB 1405-0193

The information collection activity will collect qualitative customer feedback in an efficient, timely manner, in accordance with the Administration's commitment to improving service delivery. This qualitative feedback will provide insights into customer perceptions, experiences and expectations, provide an early warning of issues with service, or focus attention on areas where communication, training or changes in operations might improve delivery of products or services. These collections will allow for ongoing, collaborative and actionable communications between the Agency and its customers. It will also allow feedback to contribute directly to the improvement of program management.

The latest form for Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery expires 2027-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form Survey ECS Survey Form and Instruction
MQ120 Foreign Service Spouse and Partner Orientation Evaluation Survey Form and Instruction
Form Survey MQ712 Survey Form and Instruction
Form Survey Gilman Scholars Tour Survey Form and Instruction
Form Survey Take Your Child to Work Day Survey Form and Instruction
Form Survey Mental Health Surveys Form and Instruction
Supporting Statement_1405-0193.docx Supporting Statement A
12316_PublishedFR_2-2-2024.pdf (document unavailable) Supplementary Document
12159_PublishedFR_11-14-2023.pdf Supplementary Document
Online Passport Renewal Survey - Limited Release Users.docx Justification for No Material/Nonsubstantive Change
Generic Clearance Submission Template.docx Supplementary Document
Survey Clearance Submission OMB Control Number 1405-0193.docx (document unavailable) Supplementary Document
Clearance Submission Template- Former Consular Fellows.doc (document unavailable) Supplementary Document
Webinars SS.docx Supplementary Document
Beta Testing SS.doc Supplementary Document
Generic Clearance Submission_Bureau of Public Affairs_Foreign Press Center Survey.doc Supplementary Document
Generic Clearance Submission_Bureau of Public Affairs Product Use Survey.doc Supplementary Document
Generic Clearance Submission_Bureau of Public Affairs_USDC Simulation Survey.doc Supplementary Document
Generic Clearance Submission_Bureau of Public Affairs_USDC Front End Evaluation Interview Guide.doc (document unavailable) Supplementary Document
Generic Clearance Submission_Bureau of Public Affairs_USDC Exhibit User Tester Survey.doc Supplementary Document
Generic Clearance Submission_Bureau of Public Affairs_USDC Audience Survey.doc (document unavailable) Supplementary Document
Generic Clearance Submission_Bureau of Public Affairs_USDC Audience Experience with Exhibits .doc Supplementary Document
Generic Clearance Submission_Bureau of Public Affairs_Office of Public Engagement Survey.doc Supplementary Document
State Kiosk - Generic Clearance Submission Template State Kiosk Survey (6-2015).pdf (document unavailable) Supplementary Document
National Visa Center - Generic Clearance Submission Template (NVC 6-2015).pdf Supplementary Document
PPT Feedback - Generic Clearance Submission Template PPT Survey (4-2015).pdf Supplementary Document
Feedback Survey_SV-2016-0002.pdf Supplementary Document
Generic Clearance Submission DTAG Questionnaire.doc Supplementary Document
Nonimmigrant Visa - Generica Clearance Submission.pdf Supplementary Document
ACS - Generic Clearance Submission Template ACS (4-2015) survey.pdf Supplementary Document
Immigrant Visa - Generic Clearance Submission Template Immigrant Visa Survey (7-2015).pdf (document unavailable) Supplementary Document
Legal Authorities for Customer Service Surveys - Copy.docx Supplementary Document
Part B - Supporting Statement for Paperwork Reduction Act Generic Information Collection Submissions for.docx Supporting Statement B
ECS Survey Form and Instruction
MQ120 Foreign Service Spouse and Partner Orientation Evaluation Survey Form and Instruction
MQ712 Survey Form and Instruction
Gilman Scholars Tour Survey Form and Instruction
Take Your Child to Work Day Survey Form and Instruction
Mental Health Surveys Form and Instruction

All Historical Document Collections

202402-1405-001 Approved without change	Extension without change of a currently approved collection	2024-02-07
202208-1405-001 Improperly submitted and continue	Revision of a currently approved collection	2022-08-05
202204-1405-005 Improperly submitted and continue	No material or nonsubstantive change to a currently approved collection	2022-07-05
202112-1405-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2021-12-21
202105-1405-003 Approved without change	Revision of a currently approved collection	2021-06-16
202104-1405-002 Approved without change	Revision of a currently approved collection	2021-04-07
202012-1405-003	Extension without change of a currently approved collection	2020-12-22
201804-1405-001 Approved without change	Extension without change of a currently approved collection	2018-04-17
201803-1405-004 Withdrawn and continue	Extension without change of a currently approved collection	2018-03-09
201712-1405-007 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-12-21
201712-1405-002 Approved with change	No material or nonsubstantive change to a currently approved collection	2017-12-13
201712-1405-001 Improperly submitted and continue	No material or nonsubstantive change to a currently approved collection	2017-12-12
201707-1405-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-07-27
201707-1405-004 Improperly submitted and continue	Extension without change of a currently approved collection	2017-07-26
201706-1405-002 Approved without change	Revision of a currently approved collection	2017-06-27
201611-1405-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-11-21
201602-1405-012 Approved without change	No material or nonsubstantive change to a currently approved collection	2016-02-17
201504-1405-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2015-04-27
201405-1405-002 Approved without change	Revision of a currently approved collection	2014-05-20
201404-1405-002 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-04-07
201202-1405-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2012-02-21
201107-1405-011 Approved without change	No material or nonsubstantive change to a currently approved collection	2011-07-25
201103-1405-004 Approved without change	New collection (Request for a new OMB Control Number)	2011-03-16

OMB Details

Mental Health Surveys

Federal Enterprise Architecture: Workforce Management - Training and Employment

Form Survey	Mental Health Surveys	Fillable Fileable	Form and instruction
Form Survey	Mental Health Surveys	Fillable Fileable	Form and instruction
Form Survey	Mental Health Surveys	Fillable Fileable	Form and instruction
Form Survey	Mental Health Surveys	Fillable Fileable	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.