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New Jersey Transit Close Call Report
Close Call Reporting System
OMB: 2139-0010
IC ID: 208191
OMB.report
DOT/RITA
OMB 2139-0010
ICR 201308-2139-001
IC 208191
( )
Documents and Forms
Document Name
Document Type
Form BTS-0011A
New Jersey Transit Close Call Report
Form and Instruction
BTS-0011A New Jersey Transit Close Call Report
NJT_Report_Form0010B_2013.pdf
www.c3rs.bts.gov
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
New Jersey Transit Close Call Report
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
New Jersey Transit Close Call Report
NJT_Report_Form0010B_2013.pdf
www.c3rs.bts.gov
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
115
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
90 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
115
0
115
0
0
0
Annual IC Time Burden (Hours)
38
0
38
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.