Information Collection

Survey Packet, Travel Diary & Phone Interview

IC 198184 under ICR 201106-2125-003 · OMB 2125-0630.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2125-0630 can be found here:

Documents and Forms

Document Name Document Type
1107 main study travel diary 062111.doc Other-Travel Diary
1107 main study worksheets 6-24-11.doc Other-Worksheet
1107 Final Main Quex 6-21-11.docx Other-Phone Interview
1107 main study cover letter 062111.docx Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Survey Packet, Travel Diary & Phone Interview	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Travel Diary	1107 main study travel diary 062111.doc	No	Paper Only
Other-Worksheet	1107 main study worksheets 6-24-11.doc	No	Paper Only
Other-Phone Interview	1107 Final Main Quex 6-21-11.docx	No	Paper Only
Instruction	1107 main study cover letter 062111.docx	No	Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	800	800
Annual IC Time Burden (Hours)	1,200	1,200
Annual IC Cost Burden (Dollars)	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.