Information and Communications Technology (ICT) Needs Assessment

Information and Communications Technology (ICT) Needs Assessment Survey

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2130-0624 can be found here:

Documents and Forms

Document Name Document Type
Form 241 Information and Communications Technology (ICT) Needs Assessment Form and Instruction
241 Information and Communications Technology (ICT) Needs As ICT-NA_Instrument_Annotated_2017-0109.pdf Form and Instruction
ICT-NA_Instrument_Annotated_2017-0109.pdf ICT Draft Survey Form 241 IC Document

Information Collection (IC) Details

IC Title:	Information and Communications Technology (ICT) Needs Assessment	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	241	Information and Communications Technology (ICT) Needs Assessment	ICT-NA_Instrument_Annotated_2017-0109.pdf		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,533	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,533	1,533
Annual IC Time Burden (Hours)	511	511
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
ICT Draft Survey Form 241	ICT-NA_Instrument_Annotated_2017-0109.pdf	07/19/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.