Information Collection

Close Call Reporting

IC 45092 under ICR 201002-2139-004 · OMB 2139-0010.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2139-0010 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BTS-0601A Close Call Reporting	Form and Instruction
BTS-0601A C3RS Report Form C3RS_report_form_for_CP_UP[2].docx	Form and Instruction
BTS-0601B C3RS Report Form-NJT C3RS_report_form_for_NJT[1].docx	Form and Instruction
BTS-0602I C3RS Interview Tool Interview_Tool[1].docx	Form and Instruction
CIPSEA.pdf CIPSEA	IC Document
SafetealuSec5601.doc SAFETEALU	IC Document
60-day FR Notice.pdf 60-day Federal Register Notice	IC Document
30-day PRAClose CallNotice01042010 (2).pdf 30-day Federal Notice	IC Document

IC Title:

Close Call Reporting

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BTS-0601A	C3RS Report Form	C3RS_report_form_for_CP_UP[2].docx	Yes	No	Printable Only
Form and Instruction	BTS-0601B	C3RS Report Form-NJT	C3RS_report_form_for_NJT[1].docx	Yes	No	Printable Only
Form and Instruction	BTS-0602I	C3RS Interview Tool	Interview_Tool[1].docx	Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,000

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	Previously Approved
Annual Number of Responses for this IC	730	382	348
Annual IC Time Burden (Hours)	365	191	174
Annual IC Cost Burden (Dollars)	0	-4,420	4,420

Documents for IC

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