Information Collection

Shuttle Bus Survey for Fishers Lane

IC 220178 under ICR 201501-0925-004 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Shuttle Bus Survey for Fishers Lane	Form and Instruction
1 OAS Shuttle Survey Screenshots OAS Shuttle Survey Screenshots_Version 2.docx	Form and Instruction
Fast Track OAS Shuttle Survey.doc Fast Track OAS Shuttle Survey	IC Document

IC Title:

Shuttle Bus Survey for Fishers Lane

Agency IC Tracking Number:

IC Status: New

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	1	OAS Shuttle Survey Screenshots	OAS Shuttle Survey Screenshots_Version 2.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,545

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,545	2,545
Annual IC Time Burden (Hours)	424	424
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track OAS Shuttle Survey	Fast Track OAS Shuttle Survey.doc	02/19/2016

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