FIELD REPORT OF HIGHWAY FORM A

ICR 198104-3120-007

OMB: 3120-0007

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
154040 Migrated
ICR Details
3120-0007 198104-3120-007
Historical Active
ICC
FIELD REPORT OF HIGHWAY FORM A
Revision of a currently approved collection   No
Regular
Approved without change 04/01/1981
Retrieve Notice of Action (NOA) 04/01/1981
  Inventory as of this Action Requested Previously Approved
12/31/1983 12/31/1983
125 0 0
2,400 0 0
0 0 0

THIS FORM IS USED FOR THE COLLECTION OF INFORMATION RELATING TO THE DISTRIBUTION OF WAGE EXPENSES TO VARIOUS TYPES OF MOTOR CARRIER SERVICE. THESE DATA ARE COMPILED AND PUBLISHED TO PROVIDE INFORMATION FOR RATE MAKING AND RATE EVALUATION PROCESSES BY THE COMMISSION.

None
None


No

1
IC Title Form No. Form Name
FIELD REPORT OF HIGHWAY FORM A ACC-42

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 125 0 0 0 125 0
Annual Time Burden (Hours) 2,400 0 0 0 2,400 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/01/1981


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