Information Collection

Operator Notification Form

IC 226717 under ICR 201612-2137-005 · OMB 2137-0627.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2137-0627 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form PHMSA F1000.2 Operator Notification Form	Form and Instruction
PHMSA F1000.2 Operator Notification Form Operator Notification Form and Instructions - PHMSA F 1000.2 (rev xy-2014) 2017-05-05(2).pdf www.phmsa.dot.gov	Form and Instruction

IC Title:

Operator Notification Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 195.64 49 CFR 191.22

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
Form and Instruction	PHMSA F1000.2	Operator Notification Form	Operator Notification Form and Instructions - PHMSA F 1000.2 (rev xy-2014) 2017-05-05(2).pdf	www.phmsa.dot.gov	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 445

Number of Respondents for Small Entity: 25

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	445	445
Annual IC Time Burden (Hours)	445	445
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.