Information Collection

UP Interview Tool

IC 208011 under ICR 201308-2139-001 · OMB 2139-0010.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BTS-0011A UP Interview Tool	Form and Instruction
BTS-0011A UP Interview Tool Interview tool (UP) - 2013 - final.doc www.c3rs.bts.gov	Form and Instruction

IC Title:

UP Interview Tool

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	BTS-0011A	UP Interview Tool	Interview tool (UP) - 2013 - final.doc	www.c3rs.bts.gov	No		Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 250

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	250	250
Annual IC Time Burden (Hours)	167	167
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.