Survey of Pavement Management Practices

Fast Track Form PMS Roadmap_09012020.docx

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

Survey of Pavement Management Practices

OMB: 2125-0628

Document [docx]
Download: docx | pdf

Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 2125-0628)

Shape1 TITLE OF INFORMATION COLLECTION:


Survey of Pavement Management Practices


PURPOSE:


Develop a Roadmap for the FHWA Pavement Management Program (PMS). The collection is focused on the awareness, understanding, preferences, or experiences of FHWA’s PMS stakeholders in order to improve existing or future services.



DESCRIPTION OF RESPONDENTS:


State DOT Staff

Special interest groups:

  • Local agency practitioners (large, medium, and small cities; county government, and regional agencies)

  • Academia


TYPE OF COLLECTION: (Check one)


[ ] Customer Comment Card/Complaint Form [X] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software [ ] Small Discussion Group

[ ] Focus Group [ ] Other: __Email Questionnaire


CERTIFICATION:


I certify the following to be true:

  1. The collection is voluntary.

  2. The collection is low-burden for respondents and low-cost for the Federal Government.

  3. The collection is non-controversial and does not raise issues of concern to other federal agencies.

  4. The results are not intended to be disseminated to the public.

  5. Information gathered will not be used for the purpose of substantially informing influential policy decisions.

  6. The collection is targeted to the solicitation of opinions from respondents who have experience with the program or may have experience with the program in the future.


Name:____Christy Poon-Atkins


To assist review, please provide answers to the following question:


Personally Identifiable Information:

  1. Is personally identifiable information (PII) collected? [ ] Yes [X] No

  2. If Yes, will any information that is collected be included in records that are subject to the Privacy Act of 1974? [ ] Yes [ ] No

  3. If Yes, has an up-to-date System of Records Notice (SORN) been published? [ ] Yes [ ] No


Gifts or Payments:

Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? [ ] Yes [X] No





BURDEN HOURS


Category of Respondent

No. of Respondents

Participation Time

Burden

State DOT Staff

52

20 min

17.33 hrs

Special Interest Groups (Local agencies & Academia)

25

20 min

8.33 hrs





Totals

77


25.66 hrs


FEDERAL COST: The estimated annual cost to the Federal government is __$0__________


If you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions:


The selection of your targeted respondents

  1. Do you have a customer list or something similar that defines the universe of potential respondents and do you have a sampling plan for selecting from this universe? [ ] Yes [x] No


If the answer is yes, please provide a description of both below (or attach the sampling plan)? If the answer is no, please provide a description of how you plan to identify your potential group of respondents and how you will select them?


List of State DOT Pavement Management Engineers

Special Interest Groups selections from local agency and academia practitioners representing any of the following: large, medium, and small cities, county governments; and regional transportation agencies



Administration of the Instrument

  1. How will you collect the information? (Check all that apply)

[X] Web-based or other forms of Social Media

[ ] Telephone

[ ] In-person

[ ] Mail

[ ] Other, Explain Email Questionnaire

  1. Will interviewers or facilitators be used? [ ] Yes [X] No [The survey respondents will be contacted directly to encourage participation and to answer respondents’ questions.]


4

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleDOCUMENTATION FOR THE GENERIC CLEARANCE
Author558022
File Modified0000-00-00
File Created2021-01-13

© 2024 OMB.report | Privacy Policy