Information Collection

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

IC 244428 under ICR 201806-2125-004 · OMB 2125-0628.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2125-0628 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FHWA website customer online survey 2020 survey tool.docx	Other-Web Survey
Fast Track Form FHWA website customer online survey 2020.docx Federal Highway Administration public website customer satisfaction survey using Qualtrics online survey platform	IC Document

IC Title:

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

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Web Survey			FHWA website customer online survey 2020 survey tool.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 35,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	35,000	35,000
Annual IC Time Burden (Hours)	1,750	1,750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Federal Highway Administration public website customer satisfaction survey using Qualtrics online survey platform	Fast Track Form FHWA website customer online survey 2020.docx	11/09/2020

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