Waybill Compliance Survey Form

APPROVED BY OMB
2140-0010
EXPIRES 3/31/2007

WAYBILL COMPLIANCE SURVEY
From:

To:

Mac Frampton
Surface Transportation Board
395 E Street, SW
Washington, D.C. 20423-0001
FAX (202) 245-0454
[email protected]

What was your railroad operating revenue
for 2006?
Check one

G

Switching and Terminal Railroad with no line haul traffic. (If checked, skip rest of form
and return.)

G
G
G

All waybills are handled by another railroad through an interline settlement agreement
(Give name of reporting railroad and a contact, skip rest of form and return.)

This railroad is in the Carload Waybill Sample. (Give name & telephone number of person
responsible for reporting the waybill sample, skip rest of form, and return.)
None of the above. (Please list the total number of carloads terminated, by state. If traffic
terminated in more than one state, continue on the back of this form.)

For railroads with both line haul traffic and switching and terminal traffic, report only line haul traffic.

Number of revenue carloads terminated in 2006

in the State of

,

Number of revenue carloads terminated in 2006

in the State of

,

Number of revenue carloads terminated in 2006

in the State of

.

PLEASE PRINT:

(Name of individual preparing this form)

(Title)
___________________________________________________
(Name of railroad)
(Phone number)

APPROVED BY OMB
2140-0010
EXPIRES 3/31/2007

SUPPLEMENTAL INFORMATION ABOUT THE ANNUAL WAYBILL COMPLIANCE
SURVEY
The following information is provided in Compliance with OMB requirements and pursuant to the
Paperwork Reduction Act of 1995, 44 U.S.C. 3501 et seq.:
The estimated hourly burden for filing this report is less than .5 hours. Respondents are invited to
notify the agency if this estimate is inaccurate.
Information in the Annual Waybill Compliance Survey is collected to determine if the responding
railroad meets the 4500 terminating carload requirement and therefore must participate in the
annual STB Carload Waybill Sample. The revenue information is used to determine whether other
statutory and/or regulatory requirements may apply.
The information in this report is ordinarily maintained by the agency in hard copy for one year,
after which it is disposed of.
Information collected through this report is not published.
The display of a currently valid OMB control number for this collection is required by law.