Information Collection

Rural Low-Stress Pipelines Survey

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.