No Wrong Door Complaint Form

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Accessibility_Comp No Wrong Door Complaint Form	Form	New	Available
OST_102_CCA_05-3646.pdf	Supplementary Document	Uploaded 2016-10-11	Available
ada.jpg	Supplementary Document	Uploaded 2016-10-11	Available
No Wrong Door Complaint Form__2016_Supporting_Statement_v1.doc	Supporting Statement A	Uploaded 2016-10-11	Available
30-Day_Notice_for_Transportation_Accessibility_Concern_Form_81_FR_59038_Aug.26.2016.pdf	Supplementary Document	Uploaded 2016-10-07	Available
60-day-notice__Accessibility_Concerns_ 20160613_Mon_2016-13872.pdf	Supplementary Document	Uploaded 2016-10-07	Available
14 CFR.382_Nondiscrimination_Disability_Air_Travel.pdf	Supplementary Document	Uploaded 2016-10-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
223866	No Wrong Door Complaint Form	Form	New

ICR Details

OMB Control No: 2105-0574	ICR Reference No: 201609-2105-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOT/OST	Agency Tracking No:
Title: No Wrong Door Complaint Form
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/06/2016
	Date Received in OIRA: 10/12/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2019	36 Months From Approved
Responses	850	0	0
Time Burden (Hours)	425	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The current process for submitting concerns about American with Disabilities Act, as amended, (ADA) and other related civil rights violations is fragmented across the Department—sometimes being time consuming and cumbersome for the traveling public. Establishing a streamlined and consistent process would respond directly to the President’s National Council on Disability, and more importantly, the information received through this new system would strengthen our ability to understand the challenges and impacts that persons with disabilities face every day as they travel using our nation’s transportation systems. This would also offer significant improvements to ensuring that access to all modes of transportation is available to persons with disabilities and members of the public.

---

Authorizing Statute(s): US Code: 42 USC 12101 Name of Law: Americans with Disabilities Act of 1990
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 38264	06/13/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 59038	08/26/2016
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
No Wrong Door Complaint Form	Accessibility_Complaint_Form	Accessibility_Complaint_Form

---

ICR Summary of Burden

table that charts list 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	850	0	0	850	0	0
Annual Time Burden (Hours)	425	0	0	425	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new project. US DOT has built a website for submitting complaints.

---

Annual Cost to Federal Government: $750

Does this IC contain surveys, censuses, or employ statistical methods? No

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

---

Common Form ICR:  No

---

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: 10/12/2016

---