Information Collection

Generic Clearance for the Collection of Routine Customer Feedback

IC 202351 under ICR 201107-2133-001 · OMB 2133-0543.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2133-0543 can be found here:

Documents and Forms

Document Name Document Type
Form MA-1074 Generic Clearance for the Collection of Routine Customer Feedback Form and Instruction
MA-1074 United States Merchant Marine Academy Private Insurance USMMA Midshipman Insurance Questionnaire.docx Form and Instruction
Generic_Clearance_Submission_Template.docx Request for Approval Under the Generic Clearance for the Collection of Routine Customer Feedback IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Generic Clearance for the Collection of Routine Customer Feedback	Agency IC Tracking Number:	2133-0543

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	MA-1074	United States Merchant Marine Academy Private Insurance Assessment Survey	USMMA Midshipman Insurance Questionnaire.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	800	800
Annual IC Time Burden (Hours)	67	67
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval Under the Generic Clearance for the Collection of Routine Customer Feedback	Generic_Clearance_Submission_Template.docx	05/17/2012

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