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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2125-0628 can be found here:

Documents and Forms

Document Name Document Type
Form FHWA 1647 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form
FHWA 1647 NHI User Satisfaction Survey NHI_SurveyQuestions_ NHI Marketing Satisfaction 042716.docx Form
Generic Clearance Form NHI User Satisfaction.pdf.docx Fast Track Application IC Document
Fast-Track Generic Clearance Checklist_NHI User Satisfaction.docx 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
Form	FHWA 1647	NHI User Satisfaction Survey	NHI_SurveyQuestions_ NHI Marketing Satisfaction 042716.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Application	Generic Clearance Form NHI User Satisfaction.pdf.docx	05/12/2016
Fast Track Checklist	Fast-Track Generic Clearance Checklist_NHI User Satisfaction.docx	05/12/2016

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.