Information Collection

Information Technology Services Portal Customer Satisfaction Assessment

IC 180249 under ICR 201602-2126-001 · OMB 2126-0042.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form MCSA-5845 Information Technology Services Portal Customer Satisfaction Assessment Information Technology Services Portal Customer Satisfaction Assessment	Form
MCSA-5845 Information Technology Services Portal Customer Satisfac MCSA-5845.102512.pdf	Form
PrivacyAct1974.as amended.pdf Privacy Act of 1974 (5 U.S.C. 552a as amended)	IC Document
E-GOV.Act of 2002.pdf Title II, Section 207, of the E-Government Act of 2002	IC Document
49 CFR 1.87.Delegations to the FMCSA Administrator.doc 49 CFR 1.87	IC Document
PRA-2126-0042-60dayFR.PUB.102715.pdf 60-day Federal Register notice	IC Document
PRA-2126-0042-30dayFR.PUB.021716.pdf 30-day Federal Register notice	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 1.87

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	MCSA-5845				Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,392

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,392	3,392
Annual IC Time Burden (Hours)	283	283
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Privacy Act of 1974 (5 U.S.C. 552a as amended)		05/21/2007
Title II, Section 207, of the E-Government Act of 2002		05/21/2007
49 CFR 1.87		02/18/2016
60-day Federal Register notice		02/18/2016
30-day Federal Register notice		02/18/2016

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

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