Generic Clearance for the Collection of Routine Customer Feedback

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⚠️ Notice: This information collection may be referencing outdated material.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-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

Information Collection (IC) Details

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:

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 %

	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

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.