Download:
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pdfFORM MCSA-5888 Revised 06/10/2014
OMB No.: 2126-00XX Expiration: XX/XX/XXXX
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply
with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid
OMB Control Number. The OMB Control Number for this information collection is 2126-00XX. FMCSA estimates that public reporting for this collection
of information will be approximately 45 minutes per respondent, including the time for reviewing instructions, gathering the data needed, and completing
and reviewing the collection of information. All responses to this collection of information are voluntary. Send comments regarding this burden estimate
or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal
Motor Carrier Safety Administration, MC-RRA, 1200 New Jersey Avenue, SE, Washington, D.C. 20590.
United States Department of Transportation
Federal Motor Carrier Safety Administration
FMCSA Annual Grant Program Effectiveness Survey
FORM MCSA-5888
Background
The FMCSA intends to use this survey to collect non-sensitive information about your experience with the
Performance Registration Information System Management (PRISM) program. As a grant recipient, the
FMCSA is interested in hearing your views on the strengths and weaknesses of the program which will
hopefully provide us with concepts on how we can improve the program’s effectiveness. Your answers will
be confidential and used to determine if a consensus exists amongst PRISM grant recipients.
Please provide the following demographic information:
Date:
City:
State:
American
Alaska
Alabama
District
Delaware
Connecticut
Colorado
California
Arkansas
Arizona
Marshall
Maine
Louisiana
Kentucky
Kansas
Iowa
Indiana
Illinois
Idaho
Hawaii
Guam
Georgia
Florida
Nevada
Nebraska
Montana
Missouri
Mississippi
Minnesota
Micronesia
Michigan
Massachusetts
Maryland
New
North
Northern
Puerto
Pennsylvania
Palau
Oregon
Oklahoma
Ohio
Rhode
South
Virgin
Vermont
Utah
Texas
Tennessee
West
Washington
Virginia
Wyoming
Wisconsin
Hampshire
Jersey
Mexico
York
Virginia
Carolina
Dakota
Carolina
Dakota
Island
Islands
Rico
ofIslands
Marianas
Samoa
Columbia
What is the name of your organization?
What is your title?
Please select from one of the choices below which range from “strongly agree” to “strongly disagree,” or not applicable (“N/A”).
1. Would you say that you are very familiar with PRISM?
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly Disagree
N/A
Disagree
Strongly Disagree
N/A
Disagree
Strongly Disagree
N/A
Disagree
Strongly Disagree
N/A
Disagree
Strongly Disagree
N/A
Disagree
Strongly Disagree
N/A
2. All carriers FMCSA places OOS should be removed from the highways.
Strongly agree
Agree
Neither agree nor disagree
3. I would support a decision by Congress to mandate PRISM for all States.
Strongly agree
Agree
Neither agree nor disagree
4. PRISM activity slows down DMV-related customer service.
Strongly agree
Agree
Neither agree nor disagree
5. The stakeholders in my State support fully implementing PRISM.
Strongly agree
Agree
Neither agree nor disagree
6. The existing PRISM grant funding meets our expectations.
Strongly agree
Agree
Neither agree nor disagree
7. The integration of PRISM does not adversely impact my State’s ability to accomplish other information technology (IT) endeavors.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly Disagree
N/A
Strongly Disagree
N/A
8. In my State, carriers under a Federal OOS order must also cease intrastate operations.
Strongly agree
Agree
Neither agree nor disagree
FORM MCSA-5888 • Page 1 of 2
Disagree
FORM MCSA-5888 Revised 06/10/2014
OMB No.: 2126-00XX Expiration: XX/XX/XXXX
9. I have seen evidence that some higher-risk carriers renew their registrations in non-PRISM border States:
Strongly agree
Agree
Neither agree nor disagree
Strongly Disagree
N/A
Strongly Disagree
N/A
Disagree
Strongly Disagree
N/A
Disagree
Strongly Disagree
N/A
Disagree
10. Our office reports denial, revocation and suspension data regularly to FMCSA.
Strongly agree
Agree
Neither agree nor disagree
Disagree
11. Our State distributes information on PRISM to alert subject matter experts on PRISM.
Strongly agree
Agree
Neither agree nor disagree
12. I am satisfied with the level of technology available to execute PRISM.
Strongly agree
Agree
Neither agree nor disagree
13. Our office communicates frequently with the FMCSA Division office concerning suspected reincarnated carriers.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly Disagree
N/A
14. PRISM should expand to cover interstate carriers which are not included as part of the International Registration Plan (IRP).
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly Disagree
N/A
The following are short-answer questions:
15. What costs does your State absorb because of PRISM?
16. Are there any PRISM-related best practices that you would like to share?
17. Is there anything you would change to improve PRISM or to help motivate your State to voluntarily participate more fully
in PRISM?
18. What challenges have you encountered in implementing PRISM?
19. Are you familiar with FMCSA’s PRISM outreach initiatives? If so, do you believe they are effective? If not, what do you believe
is a good way to promote the PRISM program?
20. Is there anything in the PRISM grant that you would like to see changed or expanded?
Thank you for completing this survey!
FORM MCSA-5888 • Page 2 of 2
File Type | application/pdf |
File Title | FMCSA Form MCSA-5888 |
Subject | Annual Grant Program Effectiveness Survey |
File Modified | 2014-06-10 |
File Created | 2014-06-10 |