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Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 2125-0628
IC ID: 243454
OMB.report
DOT/FHWA
OMB 2125-0628
ICR 202202-2125-004
IC 243454
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2125-0628 can be found here:
2024-08-20 - No material or nonsubstantive change to a currently approved collection
2024-06-05 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
FHWA Reslience Peer Exchange Survey_FINAL (002).docx
Other-Web Survey
Fast Track Form Pavement Resiliency Peer Exchanges 2020 (003).docx
Pavement Surface Condition Workshop Survey
IC Document
Copy of 2020 Resiliency Workshop Invitees_v6_8-14-20 (003).xlsx
Resilent Workshop Respondent List
IC Document
Information Collection (IC) Details
View Information Collection (IC)
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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Web Survey
FHWA Reslience Peer Exchange Survey_FINAL (002).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:
55
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
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
55
0
0
0
0
55
Annual IC Time Burden (Hours)
9
0
0
0
0
9
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Pavement Surface Condition Workshop Survey
Fast Track Form Pavement Resiliency Peer Exchanges 2020 (003).docx
09/02/2020
Resilent Workshop Respondent List
Copy of 2020 Resiliency Workshop Invitees_v6_8-14-20 (003).xlsx
09/02/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.