UP Interview Tool

Close Call Reporting System

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.