Information Collection

Generic Clearance for the Collection of Routine Customer Feedback

IC 200516 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⚠️ Notice: This information collection may be referencing outdated material.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-5871 Generic Clearance for the Collection of Routine Customer Feedback	Form
MCSA-5871 2012 FMCSA/TRB Annual Forum Evaluation Form MCSA-5871.TRB 2012 FMCSA-TRB Annual Forum Evaluation Form.doc	Form
49 CFR 390.doc 49 CFR 390	IC Document
49 CFR 399.doc 49 CFR 399	IC Document
PRA-2126-0049.Generic Clearance.TRB Evaluationform for annual forum.121911.doc Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	IC Document

IC Title:

Generic Clearance for the Collection of Routine Customer Feedback

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	MCSA-5871	2012 FMCSA/TRB Annual Forum Evaluation Form	MCSA-5871.TRB 2012 FMCSA-TRB Annual Forum Evaluation Form.doc		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	17	17
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	12/19/2011
49 CFR 399	49 CFR 399.doc	12/19/2011
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	PRA-2126-0049.Generic Clearance.TRB Evaluationform for annual forum.121911.doc	12/19/2011

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