View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Generic Clearance for the Collection of Routine Customer Feedback	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 390 49 CFR 399

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	MCSA-5871	2012 FMCSA/TRB Annual Forum Evaluation Form	MCSA-5871.TRB 2012 FMCSA-TRB Annual Forum Evaluation Form.doc		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: 200	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	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	200	0	200	0	0	0
Annual IC Time Burden (Hours)	17	0	17	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
49 CFR 390	49 CFR 390.doc	12/19/2011
49 CFR 399	49 CFR 399.doc	12/19/2011
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery	PRA-2126-0049.Generic Clearance.TRB Evaluationform for annual forum.121911.doc	12/19/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.