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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
2125-PRA_Generic_Clearance_for_the_Collection_of_Qualitative_Feedback_Part B 2018.docx	Supporting Statement B	Uploaded 2018-06-15	Available
2125-0628 Generic_Clearance_Supporting Statement 2018 renewal.docx	Supporting Statement A	Uploaded 2018-06-15	Available
PRA-2125 New.Generic_Clearance.SubmissionTemplate[1].docx	Supplementary Document	Uploaded 2011-09-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
244947	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Other-Website	New
244595	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Other-Questionaire	New
244428	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Other-Web Survey	New
243647	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Other-Web Survey	New
243566	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Other-Commit Card	New
243454	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Other-Web Survey	New
243449	Survey of Pavement Management Practices	Other-Web Survey	New
242447	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Other-Internet Tool	New
242230	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Other-Questionaire	New
239080	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Other-Phone Script	New
238188	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Other-Web Survey	New
237518	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Other-Comment Card	New
236435	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Other-webpage	New
235812	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Other-Webpage	New
235543	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Other-Web page	New
235474	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	Other-online survey tool	New

ICR Details

OMB Control No: 2125-0628	ICR Reference No: 201806-2125-004
Status: Active	Previous ICR Reference No: 201504-2125-005
Agency/Subagency: DOT/FHWA	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: 02/13/2019
	Date Received in OIRA: 06/29/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2022	36 Months From Approved	02/28/2019
Responses	8,900	0	8,900
Time Burden (Hours)	3,025	0	3,025
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is necessary to enable the Agency 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 the Agency's programs. The responses to these collections or voluntary. The majority of our respondents are SDOT partners, and our highway industry professionals. These collections will be issued as needed. There are not any changes since the previous approval.

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Authorizing Statute(s): EO: EO 13571 Name/Subject of EO: Streamlining Service Delivery and Improving Customer Service
   EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

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:
	83 FR 7527	02/21/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 25732	06/04/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 16

table that charts list of burden

IC Title	Form No.	Form Name
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Survey of Pavement Management Practices
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

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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	8,900	8,900	0	0	0	0
Annual Time Burden (Hours)	3,025	3,025	0	0	0	0
Annual Cost Burden (Dollars)	0	0	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: $651,500

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.     No

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.     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: 06/29/2018

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