Neighborhood Environmental Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
2120-National Environmental Survey Part B 043018_rev2_clean final.docx	Supporting Statement B	Uploaded 2018-04-30	Available
Appendix A-H_ Final.docx	Supplementary Document	Uploaded 2018-04-30	Available
2120-National Environmental Survey A_043018_rev3_clean final.doc	Supporting Statement A	Uploaded 2018-04-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
213124	Neighborhood Environmental Survey - Mail survey	Other-Survey	Modified
213121	Neighborhood Environmental Survey - Telephone questionnaire	Other-Telephone questionnaire question list	Modified

ICR Details

OMB Control No: 2120-0762	ICR Reference No: 201804-2120-014
Status: Historical Inactive	Previous ICR Reference No: 201409-2120-002
Agency/Subagency: DOT/FAA	Agency Tracking No:
Title: Neighborhood Environmental Survey
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn	Conclusion Date: 08/24/2018
	Date Received in OIRA: 04/30/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved	08/31/2018
Responses	0	0	12,147
Time Burden (Hours)	0	0	1,544
Cost Burden (Dollars)	0	0	0

---

Abstract: Individuals living within a given proximity to specific airports are asked to voluntarily respond to surveys. The Federal Aviation Administration will use the information from additional collections to supplement information from the original collection. The completion of the original research has led FAA to believe that additional collection may be needed to continue to expand the understanding of the relationship between aviation noise and individual’s reaction to noise.

---

Authorizing Statute(s): US Code: 49 USC 47501 Name of Law: Noise abatement
  

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:
	82 FR 56851	11/30/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 16168	04/13/2018
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Neighborhood Environmental Survey - Mail survey
Neighborhood Environmental Survey - Telephone questionnaire

---

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:

---

Annual Cost to Federal Government: $1,039,802

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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: 04/30/2018

---