Information Collection

Electronic Device Distraction (EDD) Survey

IC 212386 under ICR 201412-2130-003 · OMB 2130-0605.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FRA F 6180.158 Electronic Device Distraction (EDD) Survey	Form and Instruction
FRA F 6180.158 Electronic Device Distraction Survey FRA F 6180 158 (03-13)_updated.pdf safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	FRA F 6180.158	Electronic Device Distraction Survey	FRA F 6180 158 (03-13)_updated.pdf	http://safetydata.fra.dot.gov/officeofsafety/publicsite/Forms.aspx	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 53,800

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	Previously Approved
Annual Number of Responses for this IC	902	902
Annual IC Time Burden (Hours)	304	304
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.