PHH-50 Customer Service Feedback

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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
PHH50 2020 Questions.docx Survey Questions IC Document
PHMSA Generic Clearance Submission.docx Request for Approval IC Document

Information Collection (IC) Details

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:

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 %

	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

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.