Information Collection

Rural Low-Stress Pipelines Survey

IC 45373 under ICR 200608-2137-001 · OMB 2137-0623.

Documents and Forms

Document Name Document Type
Form PHMSA Form # Rural Low-Stress Pipelines Survey Form and Instruction
PHMSA Form # Low Stress Pipeline Survey Low Sress Pipeline Survey.doc www.phmsa.dot.gov/ Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Rural Low-Stress Pipelines Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 195

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	PHMSA Form #	Low Stress Pipeline Survey	Low Sress Pipeline Survey.doc	http://www.phmsa.dot.gov/	Yes	Yes	Fillable Fileable Signable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 158	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	158	158
Annual IC Time Burden (Hours)	2,528	2,528
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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