Information Collection

Information Technology Services Portal Customer Satisfaction Assessment

IC 180249 under ICR 201602-2126-001 · OMB 2126-0042.

Documents and Forms

Document Name Document Type
Form MCSA-5845 Information Technology Services Portal Customer Satisfaction Assessment Form
MCSA-5845 Information Technology Services Portal Customer Satisfac MCSA-5845.102512.pdf Form
PrivacyAct1974.as amended.pdf Privacy Act of 1974 (5 U.S.C. 552a as amended) IC Document
E-GOV.Act of 2002.pdf Title II, Section 207, of the E-Government Act of 2002 IC Document
49 CFR 1.87.Delegations to the FMCSA Administrator.doc 49 CFR 1.87 IC Document
PRA-2126-0042-60dayFR.PUB.102715.pdf 60-day Federal Register notice IC Document
PRA-2126-0042-30dayFR.PUB.021716.pdf 30-day Federal Register notice IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Information Technology Services Portal Customer Satisfaction Assessment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 1.87

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	MCSA-5845	Information Technology Services Portal Customer Satisfaction Assessment	MCSA-5845.102512.pdf		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,392	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3,392	3,392
Annual IC Time Burden (Hours)	283	283
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Privacy Act of 1974 (5 U.S.C. 552a as amended)	PrivacyAct1974.as amended.pdf	05/21/2007
Title II, Section 207, of the E-Government Act of 2002	E-GOV.Act of 2002.pdf	05/21/2007
49 CFR 1.87	49 CFR 1.87.Delegations to the FMCSA Administrator.doc	02/18/2016
60-day Federal Register notice	PRA-2126-0042-60dayFR.PUB.102715.pdf	02/18/2016
30-day Federal Register notice	PRA-2126-0042-30dayFR.PUB.021716.pdf	02/18/2016

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