Information Collection

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

IC 199699 under ICR 201107-2126-003 · OMB 2126-0049.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2126-0049 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.