Information Collection

Report of Fuel Cost, Consumption, and Surcharge Revenue

IC 46383 under ICR 201010-2140-003 · OMB 2140-0014.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2140-0014 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Report of Fuel Cost, Consumption, and Surcharge Revenue	Form and Instruction
Report of Fuel Cost, Consumption, and Surcharge Revenue Fuel Surcharge Reporting Form.pdf none (form was emailed to 7 respondents)	Form and Instruction

IC Title:

Report of Fuel Cost, Consumption, and Surcharge Revenue

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 1243.3

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	none	Report of Fuel Cost, Consumption, and Surcharge Revenue	Fuel Surcharge Reporting Form.pdf	none (form was emailed to 7 respondents)	Yes	Yes	Fillable Fileable Signable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 85 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	84	84
Annual IC Time Burden (Hours)	84	84
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.