Information Collection

EDD Survey

IC 206154 under ICR 201303-2130-003 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FRA F6180.158 EDD Survey	Form and Instruction
FRA F6180.158 Electronic Distraction Device Survey FRA F 6180.158 (03-13).pdf safetydata.fra.dot.gov/officeofsafety/Publicsite/Forms.aspx	Form and Instruction

IC Title:

EDD Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	FRA F6180.158	Electronic Distraction Device Survey	FRA F 6180.158 (03-13).pdf	http://safetydata.fra.dot.gov/officeofsafety/Publicsite/Forms.aspx	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 53,800

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,673	3,673
Annual IC Time Burden (Hours)	1,212	1,212
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.