Information Collection

Level 3 Respondents

IC 218004 under ICR 201506-2125-002 · OMB 2125-0650.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2125-0650 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FHWA TIM-3 Level 3 Respondents	Form and Instruction
FHWA TIM-3 Level 3 Respondents L32C TIM Trng PCAT Level 3 Questions - Trng Participants - 072215.docx	Form and Instruction

IC Title:

Level 3 Respondents

Agency IC Tracking Number:

Is this a Common Form? No

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	FHWA TIM-3	Level 3 Respondents	L32C TIM Trng PCAT Level 3 Questions - Trng Participants - 072215.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,400

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,400	2,400
Annual IC Time Burden (Hours)	520	520
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.