Information Collection

Tribal Transportation Safety Data Survey Online

IC 221250 under ICR 201604-2125-001 · OMB 2125-0649.

Documents and Forms

Document Name Document Type
STATE Survey.pdf Other-Web Survey
TRIBE Survey.pdf Other-Web Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Tribal Transportation Safety Data Survey Online	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
Other-Web Survey			STATE Survey.pdf		Yes	Yes	Fillable Fileable
Other-Web Survey			TRIBE Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 578	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	578	578
Annual IC Time Burden (Hours)	289	289
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.