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
Form 1472 Screener Guide	Form	Unchanged	Available
Form DBE Survey Questio DBE Survey Questions	Form and Instruction	Unchanged	Available
Form Voluntary Web-Base Voluntary Web-Based Inventory of Airport Concession Disadvantaged Business Enterprises and Disadvantaged Business Enterprise Firms	Form and Instruction	Unchanged	Available
Justification for change - Removing a generic clearance ICR from the inventory.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2018-11-28	Repair queued
Supporting_Statement_Part_B_Acquisition_360_Nov_2016.doc	Supporting Statement B	Uploaded 2016-11-16	Available
OST_Generic_Clearance_Nov_2016.docx	Supporting Statement A	Uploaded 2016-11-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
233875	Voluntary Web-Based Post-event Survey – Small Business Matchmaking event	Other-List of questions	New
232503	Drug Impaired Research	Form	Unchanged	Screener Guide
232503	Drug Impaired Research	Instruction	Unchanged
232192	Small Business Program Updates WebPage Registration	Other-Survey Questions	Modified
232188	Survey for Seat Belt Safety Public Service Advertising Campaign	Instruction	Unchanged
231863	Distracted Driving Prevention Public Service Advertising Campaign	Instruction	Unchanged
231653	Small Business Opportunities Day Post-event Customer Satisfaction Survey	Instruction	Unchanged
231647	Focus Groups for Traffic and Motor Vehicle Safety Programs and Activities	Other-Questionare	Unchanged
231642	Non-Model Unmanned Aircraft Survey	Other-Questionare	Unchanged
231437	Focus Groups for Assessment of Creative Concepts Supporting a National Awareness Campaign to Reduce Drug-Impaired Driving	Other-Questionare	Unchanged
229375	Revisions to the Emergency Response Guidebook	Instruction	Unchanged
226302	Voluntary Web-Based Survey of Airport Concession Disadvantaged Business Enterprises and Disadvantaged Business Enterprise Firms	Form and Instruction	Unchanged	DBE Survey Questions
226302	Voluntary Web-Based Survey of Airport Concession Disadvantaged Business Enterprises and Disadvantaged Business Enterprise Firms	Form and Instruction	Unchanged	Voluntary Web-Based Inventory of Airport Concession Disadvantaged Business Enterprises and Disadvantaged Business Enterprise Firms
223181	DOT Acquisition 360 Survey: Pre-Award & Debriefing Satisfaction Survey		Removed

ICR Details

OMB Control No: 2105-0573	ICR Reference No: 201811-2105-001
Status: Historical Active	Previous ICR Reference No: 201608-2105-003
Agency/Subagency: DOT/OST	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/10/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/30/2018
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2020	01/31/2020	01/31/2020
Responses	6,000	0	6,000
Time Burden (Hours)	2,000	0	2,000
Cost Burden (Dollars)	300,000	0	300,000

---

Abstract: This collection of information is necessary to enable OST program offices 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 those program office's programs.

---

Authorizing Statute(s): EO: EO 13571 Name/Subject of EO: New Fast-Track for Collecting Service Delivery Feedback Under the Paperwork Reduction Act
  

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:
	80 FR 20115	11/12/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 6932	02/09/2016
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 11

table that charts list of burden

IC Title	Form No.	Form Name
DOT Acquisition 360 Survey: Pre-Award & Debriefing Satisfaction Survey
Distracted Driving Prevention Public Service Advertising Campaign
Drug Impaired Research	1472	Screener Guide
Focus Groups for Assessment of Creative Concepts Supporting a National Awareness Campaign to Reduce Drug-Impaired Driving
Focus Groups for Traffic and Motor Vehicle Safety Programs and Activities
Non-Model Unmanned Aircraft Survey
Revisions to the Emergency Response Guidebook
Small Business Opportunities Day Post-event Customer Satisfaction Survey
Small Business Program Updates WebPage Registration
Survey for Seat Belt Safety Public Service Advertising Campaign
Voluntary Web-Based Post-event Survey – Small Business Matchmaking event
Voluntary Web-Based Survey of Airport Concession Disadvantaged Business Enterprises and Disadvantaged Business Enterprise Firms	DBE Survey Questions, Voluntary Web-Based Inventory of Airport Concessio	Voluntary Web-Based Inventory of Airport Concession Disadvantaged Business Enterprises and Disadvantaged Business Enterprise Firms ,   DBE Survey Questions

---

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	6,000	6,000	0	0	0	0
Annual Time Burden (Hours)	2,000	2,000	0	0	0	0
Annual Cost Burden (Dollars)	300,000	300,000	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:

---

Annual Cost to Federal Government: $223,750

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

---

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: 11/30/2018

---