On-highway Diesel Fuel Price Web Customer Survey

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⚠️ Notice: This information collection may be referencing outdated material.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 1905-0210 can be found here:

Documents and Forms

Document Name Document Type
Form Diesel Fuel Price On-highway Diesel Fuel Price Web Customer Survey Form
Diesel Fuel Price On-highway Diesel Fuel Price Web Customer Survey On-Highway Diesel Fuel Web Product Survey Questions.docx Form
Diesel Fuel Update Web Product Survey Generic Clearance Template.docx Disel Fuel Update Web Product Survey Template IC Document
Email-Invitation-Notice_Diesel Fuel Web Product Survey.docx Email-Invitation-Notice_Diesel Fuel Web Product Survey IC Document
Survey Pop-Up on Gasoline Diesel Fuel Update.docx Survey Pop-Up on Gasoline Diesel Fuel Update IC Document

Information Collection (IC) Details

IC Title:	On-highway Diesel Fuel Price Web Customer Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 1320.9 5 CFR 1320.8 (b) (3)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Diesel Fuel Price Web Survey 2018	On-highway Diesel Fuel Price Web Customer Survey	On-Highway Diesel Fuel Web Product Survey Questions.docx		Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Supply

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Disel Fuel Update Web Product Survey Template	Diesel Fuel Update Web Product Survey Generic Clearance Template.docx	12/11/2018
Email-Invitation-Notice_Diesel Fuel Web Product Survey	Email-Invitation-Notice_Diesel Fuel Web Product Survey.docx	12/11/2018
Survey Pop-Up on Gasoline Diesel Fuel Update	Survey Pop-Up on Gasoline Diesel Fuel Update.docx	12/11/2018

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