Please help us improve our service by completing this anonymous, voluntary survey. We estimate that it will take you about five minutes. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Thank you for your participation!

OMB Control Number: 1652-0044
OMB Expiration Date: March 31, 2019

Question Title

* Please select from the following statements to rate your level of satisfaction.

  Very Dissatisfied Dissatisfied Neither Satisfied Nor Dissatisfied Satisfied Very Satisfied Don’t Know/Not Applicable
How satisfied are you with the DHS TRIP Website overall?
How satisfied are you that you were able to find the information you needed to decide whether or not to apply for redress?
How satisfied are you that the online application process was easy to understand and use?
How satisfied are you that the online application process did not take too much time to complete?

Question Title

* Did you use TRIP Mobile (smart phone application) to initiate your redress application?

PAPERWORK REDUCTION ACT STATEMENT OF PUBLIC BURDEN
Through this information collection, DHS is collecting and reporting on redress-seeker impressions of the DHS Traveler Inquiry Program (TRIP) website, different aspects of the redress experience, and the overall satisfaction with the program, with the aim of using this information to identify areas for improvement. The public burden for this collection of information is estimated to be ten minutes. This is a voluntary collection of information. If you have any comments on the DHS TRIP Smart Form, you may contact DHS TRIP, 601 S. 12th Street, TSA-901, Arlington, VA 20598-6901-4220. An agency may not conduct or sponsor, and persons are not required to respond to, a collection of information unless it displays a current valid OMB control number. The OMB control number assigned to this collection is 1652-0044. The OMB Expiration Date is October 31, 2019.

PRIVACY ACT NOTICE AUTHORITY
Title IV of the Intelligence Reform and Terrorism Prevention Act of 2004 authorizes DHS to take security measures to protect travel, and under Subtitle B, Section 4012(1)(G), the Act directs DHS to provide appeal and correction opportunities for travelers whose information may be incorrect. Principal Purposes: DHS will use this information in order to assist you with seeking redress in connection with travel. Routine Uses: DHS will use and disclose this information to appropriate governmental agencies to verify your identity, distinguish your identify from that of another individual, such as someone included on a watch list, and/or address your redress request. Additionally, limited information may be shared with non-governmental entities, such as air carriers, where necessary for the sole purpose of carrying out your redress request. Disclosure: Furnishing this information is voluntary; however, the Department of Homeland Security may not be able to process your redress inquiry without the information requested.

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