Customer Satisfaction (products and services) 2012 TRB ART Forum Topic Selection Questionnaire

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⚠️ Notice: This information collection may be referencing outdated material.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 2126-0049 can be found here:

Documents and Forms

Document Name Document Type
Form MCSA-5870 Customer Satisfaction (products and services) 2012 TRB ART Forum Topic Selection Questionnaire Form and Instruction
MCSA-5870 2012 TRB ART Forum Topic Selection Questionnaire MCSA-5870. 2012 TRB ART Forum Topic Selection Questionaire_Final 100411 (2).doc Form and Instruction
49 CFR 390.doc 49 CFR 390 IC Document
49 CFR 399.doc 49 CFR 399 IC Document
PRA-2126-0049.Generic_Clearance Submission_ART Forum TPQ (4) (2)[1].doc PRA_2126-0049 Generic Clearance Submission ART Forum TPQ(4) (2) .doc IC Document

Information Collection (IC) Details

IC Title:	Customer Satisfaction (products and services) 2012 TRB ART Forum Topic Selection Questionnaire	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 390 49 CFR 399

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	MCSA-5870	2012 TRB ART Forum Topic Selection Questionnaire	MCSA-5870. 2012 TRB ART Forum Topic Selection Questionaire_Final 100411 (2).doc		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
49 CFR 390	49 CFR 390.doc	10/07/2011
49 CFR 399	49 CFR 399.doc	10/07/2011
PRA_2126-0049 Generic Clearance Submission ART Forum TPQ(4) (2) .doc	PRA-2126-0049.Generic_Clearance Submission_ART Forum TPQ (4) (2)[1].doc	11/08/2011

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