Visual Impact Assessment for Highway Projects Fast Track Supporting Statement

Visual Impact Assessment Fast Track Request.doc

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Visual Impact Assessment for Highway Projects Fast Track Supporting Statement

OMB: 2125-0628

Document [doc]
Download: doc | pdf


Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 2125-0628)

T ITLE OF INFORMATION COLLECTION: User feedback on Publication No. FHWA-HI-88-054 Visual Impact Assessment for Highway Projects


PURPOSE: The FHWA currently plans to update its guidance document Visual Impact Assessment for Highway Projects. As part of this effort it is necessary to solicit feedback from users of the existing document to learn whether state DOTs use the guidance and to obtain suggestions on ways to improve the guidance to obtain more widespread implementation.


DESCRIPTION OF RESPONDENTS: Anticipated respondents are DOT staff from the fifty states, Puerto Rico and the District of Columbia, or discipline practitioners responding on their behalf.


TYPE OF COLLECTION: (Check one)


[ ] Customer Comment Card/Complaint Form [ X] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group

[ ] Focus Group [] Other:


CERTIFICATION:


I certify the following to be true:

  1. The collection is voluntary.

  2. The collection is low-burden for respondents and low-cost for the Federal Government.

  3. The collection is non-controversial and does not raise issues of concern to other federal agencies.

  4. The results are not intended to be disseminated to the public.

  5. Information gathered will not be used for the purpose of substantially informing influential policy decisions.

  6. The collection is targeted to the solicitation of opinions from respondents who have experience with the program or may have experience with the program in the future.


Name: Mary E. Frye


To assist review, please provide answers to the following question:


Personally Identifiable Information:

  1. Is personally identifiable information (PII) collected? [ ] Yes [x ] No

  2. If Yes, will any information that is collected be included in records that are subject to the Privacy Act of 1974? [ ] Yes [ ] No

  3. If Yes, has an up-to-date System of Records Notice (SORN) been published? [ ] Yes [ ] No


Gifts or Payments:

Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? [ ] Yes [ x ] No





BURDEN HOURS


Category of Respondent

No. of Respondents

Participation Time

Burden

State DOT Staff

75

30

37.5

Totals

75

30

37.5


FEDERAL COST: The estimated annual cost to the Federal government is $0


If you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions:


The selection of your targeted respondents

  1. Do you have a customer list or something similar that defines the universe of potential respondents and do you have a sampling plan for selecting from this universe? [ ] Yes [ ] No


If the answer is yes, please provide a description of both below (or attach the sampling plan)? If the answer is no, please provide a description of how you plan to identify your potential group of respondents and how you will select them?


Administration of the Instrument

  1. How will you collect the information? (Check all that apply)

[x] Web-based or other forms of Social Media

[ ] Telephone

[ ] In-person

[ ] Mail

[ ] Other, Explain

  1. Will interviewers or facilitators be used? [ ] Yes [x ] No

Please make sure that all instruments, instructions, and scripts are submitted with the request.



2

File Typeapplication/msword
File TitleFast Track PRA Submission Short Form
AuthorOMB
Last Modified ByUSDOT_User
File Modified2012-07-05
File Created2012-07-02

© 2024 OMB.report | Privacy Policy