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

Forms and Documents

Document Name	Status
Form FHWA-1647 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form	New
Form FHWA 1647 Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form	New
2125-PRA_Generic_Clearance_for_the_Collection_of_Qualitative_Feedback_B[1].docx Supporting Statement B	2015-04-30
2125-0628 Generic_Clearance_Supporting Statement.docx Supporting Statement A	2015-04-30
PRA-2125 New.Generic_Clearance.SubmissionTemplate[1].docx Supplementary Document	2011-09-14

IC Document Collections

IC ID	Document Title	Status
224603	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Other-Web Survey	New
223368	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form	New
221486	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Form	New
220878	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Other-Web Survey	New
218240	Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery Other-Web Page	New

ICR Details

OMB Control No: 2125-0628	ICR Reference No: 201504-2125-005
Status: Historical Active	Previous ICR Reference No: 201409-2125-004
Agency/Subagency: DOT/FHWA	Agency Tracking No:
Title: Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/08/2015
	Date Received in OIRA: 04/30/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2018	36 Months From Approved	06/30/2015
Responses	8,900	0	8,900
Time Burden (Hours)	3,025	0	3,025
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs.

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Authorizing Statute(s): EO: EO 13571 Name/Subject of EO: Streamlining Service Delivery and Improving Customer Service
   EO: EO 12862 Name/Subject of EO: Setting Customer Service Standards
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 96	05/19/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 155	08/12/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	FHWA-1647	NHI User Satisfaction Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	FHWA 1647	NHI User Satisfaction Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	8,900	8,900	0	0	0	0
Annual Time Burden (Hours)	3,025	3,025	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $651,500

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/30/2015

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