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

This collection of information is voluntary, and will be used to collect registration information and course evaluation follow-up for the FHWA 3D Engineered Models for Construction seminar. Public reporting burden is estimated to average 20 minutes per response, including the time for reviewing instructions searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Please note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this collection is 2125-0628. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Michael Howell Information Collection Clearance Officer, [email protected], 202 366-5707, Federal Highway Administration, 1200 New Jersey Avenue, SE, E64-433, Washington, DC 20590.

REGISTRATION FORM

FHWA Center for Accelerating Innovation

1. Name

2. Organization

3. Title

4. Attendee type:

--State DOT

--Local public agency

--Private sector

--Industry

--Academia

5. Business Email

6. Business Phone number