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Appendix B

Appendix B

U.S. Department of Transportation
Request to Seek Correction of Information

In keeping with the non-regulatory nature of these guidelines, this guidance (for the content of requests for correction of information) is not intended to be legally binding requirements. However, DOT may be unable to process, in a timely fashion or at all, requests that omit one or more of the requested elements. DOT will attempt to contact and work with requestors to obtain additional information.

If you need further clarification of the questions below, please refer to the text of these guidelines.

SECTION I: REQUEST FOR CORRECTION

Contact Information:

First Name:

______________________________________________________________________________________________

Last Name:

______________________________________________________________________________________________

Email:

______________________________________________________________________________________________

Organization/ Company:

______________________________________________________________________________________________

Phone:

______________________________________________________________________________________________

Fax:

______________________________________________________________________________________________

Title:

______________________________________________________________________________________________

Street Address:

______________________________________________________________________________________________

City:

______________________________________________________________________________________________

State/ Province

______________________________________________________________________________________________

Postal Code:

______________________________________________________________________________________________

Country:

______________________________________________________________________________________________

Describe how the information in question affects you (i.e., how an alleged error harms you, and/or how the correction will benefit you):

______________________________________________________________________________________________

Publication Information:
Clearly identify the report, data set, or other document that contains the information you want the Department to correct.

DOT Agency:

______________________________________________________________________________________________

Publication/Report Title:

______________________________________________________________________________________________

Date of report:

______________________________________________________________________________________________

How did you receive the information?

______________________________________________________________________________________________

If found on a website, please indicate the URL:

______________________________________________________________________________________________

Clearly identify the specific information that you believe needs correction:

______________________________________________________________________________________________

Specify, in detail, why you believe the information fails to meet standards of integrity, utility, and objectivity.

______________________________________________________________________________________________

Specify your recommendations for what corrections DOT should make to the information in question and reasons for believing that these recommended corrections would make the information consistent with both the DOTs and OMBs information quality guidelines.

______________________________________________________________________________________________

In a case where the Department has not designated a report, data set, or document as being subject to these information quality guidelines, and you believe it should be, you should specify why the information should be subjecy to the guidelines; and include any documentary evidence you believe is relevant to your request (e.g., comparable data or research results on the same topic).

______________________________________________________________________________________________

How would you like us to contact you?

______________________________________________________________________________________________


SECTION II: REQUEST FOR RECONSIDERATION

 __ Please check this box if this is a request for reconsideration and no more than 30 days has elapsed from the date you received DOT's response to your request for correction. (If this is a request for correction, please complete Section I of this form. You do not need to complete Section II.)

Please provide the following information relating to the request for correction submitted to the Department:

1. DOT Docket Number: OST -

______________________________________________________________________________________________

2. Date request for correction submitted:

______________________________________________________________________________________________

3. How did you submit request?

______________________________________________________________________________________________

4. Please provide a detailed explanation of why you are dissatisfied with DOT's response

______________________________________________________________________________________________

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