Information Collection

In-vehicle data collection during scripted commute

IC 193098 under ICR 201006-0920-001 · OMB 0920-0859.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
In-vehicle data collection during scripted commute	Form
In-vehicle data collection during scripted commute Attach5_0920-09BQ_Invehicle data collection_3May2010.doc	Form

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	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	none	In-vehicle data collection during scripted commute	Attach5_0920-09BQ_Invehicle data collection_3May2010.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Epidemiologic studies and surveillance of disease problems

FR Citation: 57 FR 62812

Number of Respondents: 40

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	80	80
Annual IC Time Burden (Hours)	160	160
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.