OMB Control No. 2126-0069
VIRGINIA POLYTECHNIC INSTITUTE AND STATE UNIVERSITY
Carrier Maintenance Manager Recruitment, Online Survey
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Public Burden Statement
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control Number. The OMB Control Number for this information collection is 2126-0069. Public reporting for this collection of information is estimated to be approximately 5 minutes per response, including the time for reviewing instructions and completing and reviewing the collection of information. All responses to this collection of information are voluntary. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Motor Carrier Safety Administration, MC-RRA, 1200 New Jersey Avenue, SE, Washington, D.C. 20590.
This application will be used to identify contact information for you to complete a survey and to identify the type of experiences your carrier has had with regard to commercial vehicle maintenance. All answers provided in the survey will be de-identified. Personal and carrier information provided in this application will not be identified with your survey response.
Name: ___________________________
Email: ___________________________
Phone Number: ___________________________
Carrier Name: ___________________________
Carrier DOT Number: ___________________________
What is your current role in the Carrier?
Technician (less than 10 years of experience)
Technician, Expert (10 or more years of experience)
Technician, Manager
Mid-Level Manager, Maintenance and Technical Lead
High-Level Manager, Maintenance/Technical/Operations Strategy
Owner-Operator
Carrier Owner, Not operator
Other (please list): ___________________________
How many years has your carrier been in operation? ___________________________
How many power unit vehicles does your carrier operate? (select one)
1
2 to 6
7 to 20
21 to 100
101 to 500
501 or more
What types of vehicles does your carrier operate? (check all that apply)
Single-unit trucks
Tractor-truck power unit vehicles only
Tractor-trailer vehicles
Single-unit motor-coach buses
School buses
Other passenger vehicles (e.g., vans, mini buses)
Has your carrier been involved in a State or FMCSA intervention activity in the last 24 months due in part to maintenance violations (e.g., warning letter, off-site investigation, on-site investigation)?
Yes
No
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | jrice |
File Modified | 0000-00-00 |
File Created | 2023-11-17 |