Information Collection

Form 4 Of Highway Form A And Trip Selection Sheet

IC 154214 under ICR 198110-3120-005 · OMB 3120-0068.

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Information Collection (IC) Details

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IC Title:	FORM 4 OF HIGHWAY FORM A AND TRIP SELECTION SHEET	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ACC-37				No	No
Form	ACC-97				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 150	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 Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	150	-50	200
Annual IC Time Burden (Hours)	15,000	-5,000	20,000
Annual IC Cost Burden (Dollars)	0	0	0

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