Information Collection

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

IC 235812 under ICR 202202-2125-004 · OMB 2125-0628.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2125-0628 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HIF_CustomerSatisfaction_Tool.docx	Other-Webpage
Fast Track Form_HIF_CustomerSatisfaction_Tool.docx USDOT/FHWA/Office of Infrastructure (HIF) Webinar Customer Satisfaction	IC Document

IC Title:

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

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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
Other-Webpage			HIF_CustomerSatisfaction_Tool.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,500

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	7,500	7,500
Annual IC Time Burden (Hours)	625	625
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
USDOT/FHWA/Office of Infrastructure (HIF) Webinar Customer Satisfaction	Fast Track Form_HIF_CustomerSatisfaction_Tool.docx	04/23/2019

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