Information Collection

2011 FHWAR Survey - Screen

IC 10969 under ICR 201007-1018-002 · OMB 1018-0088.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1018-0088 can be found here:

Documents and Forms

Document Name Document Type
2011 Screen Questionnaire.doc Other-Survey
Script.doc Script IC Document
Wave1 letter.doc Letter (screen and wave 1) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	2011 FHWAR Survey - Screen	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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			2011 Screen Questionnaire.doc		No		Paper Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title: Census-3, Individual and Household Statistical Surveys and Special Studies Records	FR Citation: 67 FR 66608

Number of Respondents: 47,208	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	47,208	47,208
Annual IC Time Burden (Hours)	5,508	5,508
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Script	Script.doc	09/02/2010
Letter (screen and wave 1)	Wave1 letter.doc	09/02/2010

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