Information Collection

Applications for Land-Use-Exemption Permits

IC 196928 under ICR 201403-2140-003 · OMB 2140-0018.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Justification for change in non-hourly burden 6-20-14.pdf Justification for seeming change in non-hourly burden	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 49 CFR 1155

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

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 1

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1	0	1
Annual IC Time Burden (Hours)	160	0	160
Annual IC Cost Burden (Dollars)	200,000	-14,250	214,250

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for seeming change in non-hourly burden	Justification for change in non-hourly burden 6-20-14.pdf	06/20/2014

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.