FORM 1, TERMINAL LISTING SHEET

ICR 198110-3120-004

OMB: 3120-0067

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
154212 Migrated
ICR Details
3120-0067 198110-3120-004
Historical Active
ICC
FORM 1, TERMINAL LISTING SHEET
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/01/1981
Retrieve Notice of Action (NOA) 10/09/1981
  Inventory as of this Action Requested Previously Approved
11/30/1983 11/30/1983
600 0 0
1,200 0 0
0 0 0

THIS FORM IS USED TO DETERMINE THE SELECTION OF DAYS AND TRIPS AND A SAMPLE OF DAYS AND TERMINALS FOR THOSE MOTOR CARRIERS DESIGNATED TO PARTICIPATE IN HIGHWAY FORM "A" COST STUDIES FOR A GIVEN YEAR. DATA DEVELOPED THROUGH REGIONAL COST STUDIES ARE USED TO DETERMINE AND EVALUATE MOTOR CARRIER OPERATING COSTS FOR RATEMAKING AND RELATED PURPOSES.

None
None


No

1
IC Title Form No. Form Name
FORM 1, TERMINAL LISTING SHEET ACC-95

  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 600 0 0 100 500 0
Annual Time Burden (Hours) 1,200 0 0 200 1,000 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
10/09/1981


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