Information Collection

National TPM Implementation Review Survey Design and Questions

IC 224692 under ICR 201611-2125-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
20161116_(revised)HIPN_RevisedNIRSurveyQuestionsandDesignReport_V7 (2).docx	Other-Web Survey

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Web Survey			20161116_(revised)HIPN_RevisedNIRSurveyQuestionsandDesignReport_V7 (2).docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 307

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	307	307
Annual IC Time Burden (Hours)	6,754	6,754
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.