Information Collection

Electronic Device Distraction (EDD) Survey

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

Documents and Forms

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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Electronic Device Distraction (EDD) Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	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 %

	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

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.