Information Collection

State EMS Office Interview

IC 219932 under ICR 201602-2127-001 · OMB 2127-0724.

Documents and Forms

Document Name Document Type
Form 1331 State EMS Office Interview Form and Instruction
1331 State EMS Office Interview AppendixD2-StateDiscussionQuestions.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State EMS Office Interview	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
Form and Instruction	1331	State EMS Office Interview	AppendixD2-StateDiscussionQuestions.docx		No		Printable Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 153	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	153	153
Annual IC Time Burden (Hours)	153	153
Annual IC Cost Burden (Dollars)	8,274	8,274

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.