Generic Clearance of Customer Satisfaction Surveys

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
PRA-2126NEW.GenericCustSurvey.SS.PartA.121514.Use.docx	Supporting Statement A	Uploaded 2014-12-19	Available
PRA-2126NEW.30day.FR.GenericSurvey.121514.pdf	Supplementary Document	Uploaded 2014-12-19	Available
PRA-2126NEW.60day.FR.GenericSurvey.082914.pdf	Supplementary Document	Uploaded 2014-12-19	Available
E.O. 12862.Setting Customer Service Standards.091193.pdf	Supplementary Document	Uploaded 2014-12-19	Available
PRA-2126NEW.GenericCustSurvey.SS.PartB.121514.Use.docx	Supporting Statement B	Uploaded 2014-12-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
217498	Movement of Household Goods: Customer Satisfaction In-Depth Interviews	Other-Instructions & In-Depth Interviews	New

ICR Details

OMB Control No: 2126-0061	ICR Reference No: 201412-2126-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOT/FMCSA	Agency Tracking No:
Title: Generic Clearance of Customer Satisfaction Surveys
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/10/2015
	Date Received in OIRA: 03/02/2015
Terms of Clearance: As the agency sets forth in its supporting statements, surveys conducted under this control number will not be used to inform policy decisions, nor will the results be generalized beyond the sample.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2018	36 Months From Approved
Responses	5,900	0	0
Time Burden (Hours)	5,274	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: This collection of information is necessary to enable FMCSA 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 efficient, and satisfying experience with FMCSA's programs.

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 51639	08/29/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 74158	12/15/2014
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Movement of Household Goods: Customer Satisfaction In-Depth Interviews

---

ICR Summary of Burden

table that charts list of burden

	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	5,900	0	0	5,900	0	0
Annual Time Burden (Hours)	5,274	0	0	5,274	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This program change increase of 5,274 estimated annual burden hours is due to a new ICR which will enable FMCSA to collect customer and stakeholder feedback in an efficient, timely manner.

---

Annual Cost to Federal Government: $28,569

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/02/2015

---