Information Collection

Survey for soliciting feedback on 2022 Eastern Service Area Stakeholder Engagement Forum

IC 254043 under ICR 202206-2120-003 · OMB 2120-0772.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0772 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2022 Survey for ESA Stakeholder Engagement Forum.docx www.surveymonkey.com/r/V8W6GT2	Other-Survey Questionnaire
2022 Survey for ESA Stakeholder Engagement Forum.docx www.surveymonkey.com/r/V8W6GT2	Other-Survey Questionnaire
Generic Clearance Submission for ESA Stakeholder Engagement Forum.rtf Generic Clearance Submission for ESA Stakeholder Engagement Forum	IC Document
Generic Clearance Submission for ESA Stakeholder Engagement Forum.rtf Generic Clearance Submission for ESA Stakeholder Engagement Forum	IC Document
Stakeholder Forum Attendance List.xlsx Stakeholder Forum Attendance List	IC Document
Stakeholder Forum Attendance List.xlsx Stakeholder Forum Attendance List	IC Document

IC Title:

Survey for soliciting feedback on 2022 Eastern Service Area Stakeholder Engagement Forum

Agency IC Tracking Number:

IC Status: New

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-Survey Questionnaire			2022 Survey for ESA Stakeholder Engagement Forum.docx	https://www.surveymonkey.com/r/V8W6GT2	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 85

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	85	85
Annual IC Time Burden (Hours)	14	14
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Clearance Submission for ESA Stakeholder Engagement Forum	Generic Clearance Submission for ESA Stakeholder Engagement Forum.rtf	06/06/2022
Stakeholder Forum Attendance List	Stakeholder Forum Attendance List.xlsx	06/06/2022

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