Road Maintenance Improvement Project

DOI Programmatic Clearance for Customer Satisfaction Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1040-0001 can be found here:

Documents and Forms

Document Name Document Type
BIA FT-69 Roads Maintenance Survey Renewal.pdf Other-Survey Tool
BIA FT-69 DI-4010 Roads Maintenance Survey Renewal.pdf Justification for Submission IC Document

Information Collection (IC) Details

IC Title:	Road Maintenance Improvement Project	Agency IC Tracking Number:	2018-BIA-CS3

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey Tool			BIA FT-69 Roads Maintenance Survey Renewal.pdf		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 409	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	409	409
Annual IC Time Burden (Hours)	102	102
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification for Submission	BIA FT-69 DI-4010 Roads Maintenance Survey Renewal.pdf	10/18/2018

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