Office of Civil Rights Customer Survey

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⚠️ Notice: This information collection may be referencing outdated material.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 2120-0746 can be found here:

Documents and Forms

Document Name Document Type
ACR Customer Survey Questions_1-15-16.pptx Other-Online Survey
ACR Generic Clearance_012616.pdf ACR Generic Clearance IC Document
DOT Checklist for PRA Submissions Fast Track - FAA Office of Civil Rights.pdf DOT Checklist for PRA Submissions Fast Track IC Document
External customer ACR4 (002).pdf External Customer ACR IC Document

Information Collection (IC) Details

IC Title:	Office of Civil Rights Customer Survey	Agency IC Tracking Number:	Fast Track

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
Other-Online Survey			ACR Customer Survey Questions_1-15-16.pptx		Yes	Yes	Fillable Fileable Signable

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 500	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 Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ACR Generic Clearance	ACR Generic Clearance_012616.pdf	03/03/2016
DOT Checklist for PRA Submissions Fast Track	DOT Checklist for PRA Submissions Fast Track - FAA Office of Civil Rights.pdf	03/03/2016
External Customer ACR	External customer ACR4 (002).pdf	03/03/2016

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