Household Goods - Consumer Complaint

Transportation of Household Goods; Consumer Protection

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2126-0025 can be found here:

Documents and Forms

Document Name Document Type
PRA-2126-0025.Ext.ScreenShots.022516.pdf Other-Website screen shot

Information Collection (IC) Details

IC Title:	Household Goods - Consumer Complaint	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 375

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Website screen shot			PRA-2126-0025.Ext.ScreenShots.022516.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,600	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,600	100	2,500
Annual IC Time Burden (Hours)	400	0	400
Annual IC Cost Burden (Dollars)	0	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.