Information Collection

Application to Open an Account for Billing Purposes

IC 26931 under ICR 201501-2140-002 · OMB 2140-0006.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Application to Open an Account for Billing Purposes	Form and Instruction
Application to Open a Billing Account ApplicationtoOpenAccountForm Exp 2015.pdf www.stb.dot.gov	Form and Instruction

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:

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	None	Application to Open a Billing Account	ApplicationtoOpenAccountForm Exp 2015.pdf	www.stb.dot.gov	Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title: CASE

FR Citation: 40 FR 43695

Number of Respondents: 5

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	0	0
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.