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Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 2125-0628
IC ID: 220878
OMB.report
DOT/FHWA
OMB 2125-0628
ICR 201504-2125-005
IC 220878
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2125-0628 can be found here:
2024-06-05 - Reinstatement with change of a previously approved collection
2022-02-22 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
NSTI SurveyMonkey_FY2016.pdf
Other-Web Survey
2016 NSTI Host Sites OMB.pdf
NSTI Host Sites
IC Document
NSTI Fast Track Form_Mike.docx
NTSI Fast Track Form
IC Document
NSTI Fast-Track Generic Clearance Checklist_Ver3.0_070915_pl (2)_Mike.docx
NSTI Fast Track Checklist
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-Web Survey
NSTI SurveyMonkey_FY2016.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
58
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
58
0
58
0
0
0
Annual IC Time Burden (Hours)
29
0
29
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
NSTI Host Sites
2016 NSTI Host Sites OMB.pdf
04/04/2016
NTSI Fast Track Form
NSTI Fast Track Form_Mike.docx
04/04/2016
NSTI Fast Track Checklist
NSTI Fast-Track Generic Clearance Checklist_Ver3.0_070915_pl (2)_Mike.docx
04/04/2016
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.