Information Collection

Application For Participation In A Dedicated Commuter Lane Program

IC 119912 under ICR 199104-1115-001 · OMB 1115-0174.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1115-0174 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

No indexed documents/forms are available for this IC yet. A refresh has been queued.

IC Title:

APPLICATION FOR PARTICIPATION IN A DEDICATED COMMUTER LANE PROGRAM

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	I-823	No	No
Form	I-823B	No	No
Form	I-823A	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200,000	200,000
Annual IC Time Burden (Hours)	132,800	132,800
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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