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Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 2125-0628
IC ID: 203012
OMB.report
DOT/FHWA
OMB 2125-0628
ICR 201109-2125-001
IC 203012
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2125-0628 can be found here:
2024-06-05 - Reinstatement with change of a previously approved collection
2022-02-22 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form FHWA VIA001
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Form and Instruction
FHWA VIA001 Visual Impact Assessment for Highway Projects Customer S
Visual Impact Assessment Fast Track Form VIA001.doc
Form and Instruction
Visual Impact Assessment Fast Track Request.doc
Visual Impact Assessment for Highway Projects Fast Track Supporting Statement
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Agency IC Tracking Number:
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
FHWA VIA001
Visual Impact Assessment for Highway Projects Customer Satisfaction Form
Visual Impact Assessment Fast Track Form VIA001.doc
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
75
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
75
0
75
0
0
0
Annual IC Time Burden (Hours)
38
0
38
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Visual Impact Assessment for Highway Projects Fast Track Supporting Statement
Visual Impact Assessment Fast Track Request.doc
07/10/2012
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.