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National Roadway Safety Strategy Call to Action Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 2105-0573
IC ID: 263588
OMB.report
DOT/OST
OMB 2105-0573
ICR 202503-2105-003
IC 263588
( )
Documents and Forms
Document Name
Document Type
Form 001-xx (TBD)
National Roadway Safety Strategy Call to Action Survey
Form
001-xx (TBD) Fast Track Clerance Submission
2105-0573_Fast Track Clearance submission form - Allies in Action Feedback November 21 2023 v3.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Roadway Safety Strategy Call to Action Survey
Agency IC Tracking Number:
IC Status:
Unchanged
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
001-xx (TBD)
Fast Track Clerance Submission
2105-0573_Fast Track Clearance submission form - Allies in Action Feedback November 21 2023 v3.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
140
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
140
0
0
0
0
140
Annual IC Time Burden (Hours)
35
0
0
0
0
35
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.