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2010 Omnibus Household Survey (OHS)
Omnibus Household Survey (OHS)
OMB: 2139-0012
IC ID: 181670
OMB.report
DOT/RITA
OMB 2139-0012
ICR 201010-2139-002
IC 181670
( )
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
2010 Omnibus Household Survey (OHS)
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
Form and Instruction
BTS Form-0020
2010 Omnibus Household Survey
Attachment V 2010 Omnibus Survey Questionnaire.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
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 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
7,500
0
0
6,000
0
1,500
Annual IC Time Burden (Hours)
625
0
0
83
0
542
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
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.