Mark Center LEED Transportation Survey

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

Mark Center LEED Transportation Survey v2

Mark Center LEED Transportation Survey

OMB: 0704-0553

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Washington Headquarters Services (WHS)

Facilities Services Directorate (FSD)

Leased Facilities Directorate (LFD)

Mark Center


Mark Center Transportation Survey



AGENCY DISCLOSURE NOTICE


The public reporting burden for this collection of information is estimated to average 1 minute per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, [email protected]. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.




Decline to Respond _____________


  1. What mode of transportation do you take to/from the Mark Center each day this week?



(Check one mode per column)

Mode of Transportation (for longest leg of each trip)

Monday

Tuesday

Wednesday

Thursday

Friday

To

From

To

From

To

From

To

From

To

From

Drive Alone

Make:___________

Model: ___________

Year: ___________











Bus











Commuter Bus











Metro











Bicycle











Walk











Carpool/Vanpool

Enter # of people in vehicle each day











Trip avoided due to:


Telecommuting






Compressed Workweek






Other Absence










  1. Is your commuting schedule the same next week?

Yes: Thank you for completing the survey!

No: Please enter next week’s commuting schedule on the back.




  1. What mode of transportation do you take to/from the Mark Center each day next week?



(Check one mode per column)

Mode of Transportation (for longest leg of each trip)

Monday

Tuesday

Wednesday

Thursday

Friday

To

From

To

From

To

From

To

From

To

From

Drive Alone











Bus











Commuter Bus











Metro











Bicycle











Walk











Carpool/Vanpool

Enter # of people in vehicle each day











Trip avoided due to:


Telecommuting






Compressed Workweek






Other Absence







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Authorjradoff
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File Created2021-01-21

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