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

ICR 201407-2126-003

OMB: 2126-0049

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2014-07-18
Supporting Statement B
2014-07-18
Supplementary Document
2011-07-26
ICR Details
2126-0049 201407-2126-003
Historical Active 201107-2126-003
DOT/FMCSA
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 03/12/2015
Retrieve Notice of Action (NOA) 10/01/2014
OMB approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) Unless an agency is using multiple modes of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) If the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.¿
  Inventory as of this Action Requested Previously Approved
03/31/2018 36 Months From Approved
51,300 0 0
10,350 0 0
1,470 0 0

This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
   EO: EO 13571 Name/Subject of EO: Streamlining Service Delivery and Improving Customer Service
  
None

Not associated with rulemaking

  79 FR 21995 04/18/2014
79 FR 40193 07/11/2014
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 51,300 0 0 0 0 51,300
Annual Time Burden (Hours) 10,350 0 0 0 0 10,350
Annual Cost Burden (Dollars) 1,470 0 0 150 0 1,320
No
No

$602,400
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Brian Ronk 2023661072 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/01/2014


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