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

Forms and Documents

Document Name	Status
Form 1472 Drug Impaired Research Form	New
Form Voluntary Web-Base Voluntary Web-Based Survey of Airport Concession Disadvantaged Business Enterprises and Disadvantaged Business Enterprise Firms Form and Instruction	New
fast-track-PRA-submission-short-form_Nov_2016.doc Supplementary Document	2016-11-16
Supporting_Statement_Part_B_Acquisition_360_Nov_2016.doc Supporting Statement B	2016-11-16
OST_Generic_Clearance_Nov_2016.docx Supporting Statement A	2016-11-15

IC Document Collections

IC ID	Document Title	Status
232503	Drug Impaired Research Form	New
232192	Small Business Program Updates WebPage Registration Other-Survey Questions	New
232188	Survey for Seat Belt Safety Public Service Advertising Campaign Instruction	New
231863	Distracted Driving Prevention Public Service Advertising Campaign Instruction	New
231653	Small Business Opportunities Day Post-event Customer Satisfaction Survey Instruction	New
231647	Focus Groups for Traffic and Motor Vehicle Safety Programs and Activities Other-Questionare	New
231642	Non-Model Unmanned Aircraft Survey Other-Questionare	New
231437	Focus Groups for Assessment of Creative Concepts Supporting a National Awareness Campaign to Reduce Drug-Impaired Driving Other-Questionare	New
229375	Revisions to the Emergency Response Guidebook Instruction	New
226302	Voluntary Web-Based Survey of Airport Concession Disadvantaged Business Enterprises and Disadvantaged Business Enterprise Firms Form and Instruction	New
223181	DOT Acquisition 360 Survey: Pre-Award & Debriefing Satisfaction Survey	New

ICR Details

OMB Control No: 2105-0573	ICR Reference No: 201608-2105-003
Status: Historical Active	Previous ICR Reference No: 201602-2105-003
Agency/Subagency: DOT/OST	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/17/2017
	Date Received in OIRA: 11/16/2016
Terms of Clearance: OIRA approves this collection for a period of three years. To request approval of information collections under this generic approval, the agency must do the following: 1) unless an agency is using multiple mode of collection (e.g., paper forms and electronic submissions), provide a Generic Clearance Submission Template for each Instrument; 2) if the agency is using multiple modes of collection (e.g., paper forms and electronic submissions), the same Generic Clearance Submission Template may be used for both instruments; 3) each Generic Clearance Submission Template must be uploaded as a Supplementary document using a naming convention that allows the public to identify the associated instrument; 4) submit no more than five Generic Submission Templates with each request.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2020	36 Months From Approved	07/31/2019
Responses	6,000	0	6,000
Time Burden (Hours)	2,000	0	2,000
Cost Burden (Dollars)	300,000	0	300,000

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Abstract: This collection of information is necessary to enable OST program offices to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with those program office's programs.

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Authorizing Statute(s): EO: EO 13571 Name/Subject of EO: New Fast-Track for Collecting Service Delivery Feedback Under the Paperwork Reduction Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 20115	11/12/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 6932	02/09/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 11

IC Title	Form No.	Form Name
Focus Groups for Traffic and Motor Vehicle Safety Programs and Activities
Drug Impaired Research	1472	Screener Guide
Small Business Program Updates WebPage Registration
Voluntary Web-Based Survey of Airport Concession Disadvantaged Business Enterprises and Disadvantaged Business Enterprise Firms	DBE Survey Questions, Voluntary Web-Based Inventory of Airport Concessio	Voluntary Web-Based Inventory of Airport Concession Disadvantaged Business Enterprises and Disadvantaged Business Enterprise Firms ,   DBE Survey Questions
Small Business Opportunities Day Post-event Customer Satisfaction Survey
Survey for Seat Belt Safety Public Service Advertising Campaign
Revisions to the Emergency Response Guidebook
Focus Groups for Assessment of Creative Concepts Supporting a National Awareness Campaign to Reduce Drug-Impaired Driving
DOT Acquisition 360 Survey: Pre-Award & Debriefing Satisfaction Survey	Acquisition 360 - Attachment A
Non-Model Unmanned Aircraft Survey
Distracted Driving Prevention Public Service Advertising Campaign

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	6,000	6,000	0	0	0	0
Annual Time Burden (Hours)	2,000	2,000	0	0	0	0
Annual Cost Burden (Dollars)	300,000	300,000	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $223,750

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/16/2016

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