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National Evaluation of a Mileage Based Road User Charge
National Evaluation of a Mileage Based Road User Charge
OMB: 2125-0618
IC ID: 178507
OMB.report
DOT/FHWA
OMB 2125-0618
ICR 200610-2125-001
IC 178507
( )
Documents and Forms
Document Name
Document Type
bimonthly survey 1 11-28-06.doc
Other-survey
Bimonthly Survey 5 11-28-06.doc
Other-survey
Bimonthly Survey 6 12-6-06.doc
Other-survey
Training Survey 11-22-06.doc
Other-training survey
Installation_Procedure.doc
Other-procedure
Qustionnaire_2_4-5-07.pdf
Other-survey
Questionnaire_3_4-5-07.pdf
Other-survey
Bimonthly Survey 4 04-02-07.doc
Other-survey
Pre-and Full-Screening Survey 04-02-07.doc
Other-recruiting questionnaire
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Evaluation of a Mileage Based Road User Charge
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-survey
bimonthly survey 1 11-28-06.doc
No
Fillable Printable
Other-survey
Bimonthly Survey 5 11-28-06.doc
No
Fillable Printable
Other-survey
Bimonthly Survey 6 12-6-06.doc
No
Fillable Printable
Other-training survey
Training Survey 11-22-06.doc
No
Fillable Printable
Other-procedure
Installation_Procedure.doc
No
Printable Only
Other-survey
Qustionnaire_2_4-5-07.pdf
No
Fillable Fileable
Other-survey
Questionnaire_3_4-5-07.pdf
No
Fillable Fileable
Other-survey
Bimonthly Survey 4 04-02-07.doc
No
Fillable Fileable
Other-recruiting questionnaire
Pre-and Full-Screening Survey 04-02-07.doc
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Space Operations
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
7,500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
7,500
0
7,500
0
0
0
Annual IC Time Burden (Hours)
9,325
0
9,325
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.