Information Collection

Emergency Responders - Pilot Test

IC 212123 under ICR 201509-2137-001 · OMB 2137-0034.

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Information Collection (IC) Details

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IC Title:	Emergency Responders - Pilot Test	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 172.200 49 CFR 172.201 49 CFR 172.202

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title: Privacy Act Statement	FR Citation: 65 FR 19477

Number of Respondents: 24	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-24	24
Annual IC Time Burden (Hours)	-12	12
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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