MOVING SERVICE QUESTIONNAIRE

ICR 198303-3120-006

OMB: 3120-0057

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
154188 Migrated
ICR Details
3120-0057 198303-3120-006
Historical Active 198105-3120-001
ICC
MOVING SERVICE QUESTIONNAIRE
Revision of a currently approved collection   No
Regular
Approved without change 06/24/1983
Retrieve Notice of Action (NOA) 03/28/1983
THIS INFORMATION COLLECTION IS APPROVED SUBJECT TO THE FOLLOWING LIMITATION: THE STATEMENT "NOT A COMPLAINT FORM" MUST BE DELETED. A STATEMENT MUST BE ADDED IN BOLD TYPE AT THE BOTTOM OF THE QUESTIONNAIRE BRIEFLY EXPLAINING THAT THIS FORM IS INTENDED AS A SURVEY ONLY, AND THAT THE PROCEDURES FOR FILING A COMPLAINT ARE EXPLAINED IN THE ACCOMPANYING BOOKLET. THIS SURVEY IS APPROVED THROUGH 5/31/84 ONLY. IF IT IS RESUBMITTED FOR OMB APPROVAL, THE JUSTIFICATION STATEMENT MUST INCLUDE (1) AN ANALYSIS OF THE DATA WHICH THE ICC HAS PREVIOUSLY COLLECTED, AND (2) A BRIEF DISCUSSION OF WHETHER THE ICC DEVOTES SUFFICIENT STAFF AND COMPUTER RESOURCES TO RECORDING AND REVIEWING CONSUMER RESPONSES TO THIS SURVEY TO WARRANT CONTINUED COLLECTION OF THIS DATA.
  Inventory as of this Action Requested Previously Approved
05/31/1984 05/31/1984 05/31/1983
10,000 0 25,000
833 0 2,083
0 0 0

NONE PROVIDED

None
None


No

1
IC Title Form No. Form Name
MOVING SERVICE QUESTIONNAIRE OCP-100A

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 10,000 25,000 0 0 -15,000 0
Annual Time Burden (Hours) 833 2,083 0 0 -1,250 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/28/1983


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