e-Manifest Electronic Manifest Questionnaire

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

Documents and Forms

Document Name Document Type
Form 5800-048 e-Manifest Electronic Manifest Questionnaire Form
5800-048 e-Manifest Electronic Manifest Questionnaire electronic_questionnaire_text.docx Form
5800-048 e-Manifest Electronic Manifest Questionnaire electronic_questionnaire_text.docx Form
Electronic Manifest Questionnaire Generic Clearance Submission.docx Justification IC Document
Electronic Manifest Questionnaire Generic Clearance Submission.docx Justification IC Document

Information Collection (IC) Details

IC Title:	e-Manifest Electronic Manifest Questionnaire	Agency IC Tracking Number:	2434.144

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
Form	5800-048	e-Manifest Electronic Manifest Questionnaire	electronic_questionnaire_text.docx		Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: 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	100	100
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Justification	Electronic Manifest Questionnaire Generic Clearance Submission.docx	03/16/2021

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