Information Collection

2010 Omnibus Household Survey (OHS)

IC 181670 under ICR 201010-2139-002 · OMB 2139-0012.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BTS Form-0020 2010 Omnibus Household Survey (OHS)	Form and Instruction
BTS Form-0020 2010 Omnibus Household Survey Attachment V 2010 Omnibus Survey Questionnaire.docx	Form and Instruction

IC Title:

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
Form and Instruction	BTS Form-0020	2010 Omnibus Household Survey	Attachment V 2010 Omnibus Survey Questionnaire.docx		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7,500	6,000	1,500
Annual IC Time Burden (Hours)	625	83	542
Annual IC Cost Burden (Dollars)	0	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.