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Emergency Response Guidebook Feeback
Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 2137-0640
IC ID: 269011
OMB.report
DOT/PHMSA
OMB 2137-0640
ICR 202312-2137-005
IC 269011
( )
Documents and Forms
Document Name
Document Type
Emergency Response Guidebook Feeback
Form
Request for Approval under the “Generic Clearance for th
Fast Track Clearance submission form.docx
Form
Fast Track Clearance submission form.docx
Fast Track Clearance Submission Form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Emergency Response Guidebook Feeback
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
49 CFR 172
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
NA
Request for Approval under the “Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery”
Fast Track Clearance submission form.docx
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
Privacy Act Statement
FR Citation:
69 FR 19477
Number of Respondents:
60
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
60
0
60
0
0
0
Annual IC Time Burden (Hours)
15
0
15
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Fast Track Clearance Submission Form
Fast Track Clearance submission form.docx
06/25/2024
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.