Information Collection

Travel Retrieval Survey

IC 217744 under ICR 201506-2125-003 · OMB 2125-0545.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2125-0545 can be found here:

Documents and Forms

Document Name Document Type
Appendix 15 Retrieval Survey_v3pdf.pdf Instruction
Appendix 17 Web Retrieval Survey Examples.pdf Other-Webpage

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Travel Retrieval Survey	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Instruction			Appendix 15 Retrieval Survey_v3pdf.pdf		Yes	Yes	Printable Only
Other-Webpage			Appendix 17 Web Retrieval Survey Examples.pdf		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 21,667	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	21,667	21,667
Annual IC Time Burden (Hours)	4,695	4,695
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.