Information Collection

National Evaluation of a Mileage Based Road User Charge

IC 178507 under ICR 200610-2125-001 · OMB 2125-0618.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available 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

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	7,500	7,500
Annual IC Time Burden (Hours)	9,325	9,325
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.