Information Collection

Neighborhood Environmental Survey - Telephone questionnaire

IC 213121 under ICR 201409-2120-002 · OMB 2120-0762.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0762 can be found here:

Documents and Forms

Document Name Document Type
Appendix I - Telephone Questionnaire_rev_clean.docx Other-Telephone questionnaire questi

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Neighborhood Environmental Survey - Telephone questionnaire	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
Other-Telephone questionnaire question list			Appendix I - Telephone Questionnaire_rev_clean.docx		No		Paper Only

Line of Business: Transportation

Subfunction: Air Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,140	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	2,140	2,140
Annual IC Time Burden (Hours)	713	713
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.