Information Collection

PHH-50 Customer Service Feedback

IC 242048 under ICR 202005-2137-006 · OMB 2137-0640.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2137-0640 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
PHH50 2020 Questions.docx Survey Questions	IC Document
PHMSA Generic Clearance Submission.docx Request for Approval	IC Document

IC Title:

PHH-50 Customer Service Feedback

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 172.704

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

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title: Privacy Act Statement

FR Citation: 65 FR 19477

Number of Respondents: 3,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Survey Questions	PHH50 2020 Questions.docx	06/02/2020
Request for Approval	PHMSA Generic Clearance Submission.docx	06/12/2020

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