Information Collection

Invitation

IC 198183 under ICR 201111-2125-001 · OMB 2125-0630.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
1107 main study advance letter-062111.docx	Instruction
1107 main study response letter 062111.docx	Other-Response Letter
1107 consent information form-020411.doc	Instruction

IC Title:

Invitation

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Electronic Capability
Instruction	1107 main study advance letter-062111.docx	No	Paper Only
Other-Response Letter	1107 main study response letter 062111.docx	No	Paper Only
Instruction	1107 consent information form-020411.doc	No	Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,400

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	1,400	1,400
Annual IC Time Burden (Hours)	350	350
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.