FMCSA Annual Grant Program Effectiveness Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form MCSA-5888 Annual Grant Program Effectiveness Survey	Form	New	Repair queued
PRA-2126NEW.30day.FR.Annual Grant Program.011615.pdf	Supplementary Document	Uploaded 2015-01-16	Repair queued
PRA-2126NEW.60day.FR.Annual Grant Program.100814.pdf	Supplementary Document	Uploaded 2015-01-16	Repair queued
OMB Circular A-110,Reports and Records, sections 50-53.docx	Supplementary Document	Uploaded 2015-01-16	Repair queued
GAO-09-495.Report.Motor Carrier Safety.CV Registration Program.May 2009.pdf	Supplementary Document	Uploaded 2015-01-16	Repair queued
49 CFR 1.87.Delegations to the FMCSA Administrator.doc	Supplementary Document	Uploaded 2015-01-16	Repair queued
49 U.S.C. 504. Reports and records.doc	Supplementary Document	Uploaded 2015-01-16	Repair queued
PRA-2126NEW.SS.Part B.Annual Grant Program Survey.EJ.011515.docx	Supporting Statement B	Uploaded 2015-01-16	Repair queued
PRA-2126NEW.SS.Part A.Annual Grant Program Survey.011615.Use.docx	Supporting Statement A	Uploaded 2015-01-16	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
214680	Annual Grant Program Effectiveness Survey	Form	New

ICR Details

OMB Control No:	ICR Reference No: 201501-2126-001
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: DOT/FMCSA	Agency Tracking No:
Title: FMCSA Annual Grant Program Effectiveness Survey
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OIRA Conclusion Action: Withdrawn	Conclusion Date: 01/20/2016
	Date Received in OIRA: 03/02/2015
Terms of Clearance: The agency has requested this request be withdrawn.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this information collection request is to acquire the perspectives of FMCSA State partners who support the operation, regulation and enforcement of various mutually beneficial safety programs. This information will be used in various analyses conducted by FMCSA designed to assess the effectiveness of existing rules, grant programs, and safety programs.

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Authorizing Statute(s): US Code: 49 USC 504 Name of Law: Reports and Records
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 60889	10/08/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 2470	01/16/2015
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Annual Grant Program Effectiveness Survey	MCSA-5888	FMCSA Annual Grant Program Effectiveness Survey

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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 an estimated 63 annual burden hours is due to a new ICR.

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Annual Cost to Federal Government: $26,000

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

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Common Form ICR:  No

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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

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