Information Collection

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

IC 211902 under ICR 201406-2132-002 · OMB 2132-0572.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2132-0572 can be found here:

Documents and Forms

Document Name Document Type
IC Instrument Customer Satsifaction Survey.pdf Other-IC Instrument
Certification - Generic Clearance for the Contact Us Tool.pdf Certification - Generic Clearance Contact Us Tool 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
Other-IC Instrument			IC Instrument Customer Satsifaction Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,700	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,700	2,700
Annual IC Time Burden (Hours)	582	582
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Certification - Generic Clearance Contact Us Tool	Certification - Generic Clearance for the Contact Us Tool.pdf	06/13/2014

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