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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.