Information Collection Request

Flexible Sleeper Berth Pilot Program

ICR 201710-2126-003 · OMB 2126-0066 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Driver Form 6 Driver Debriefing Questionnaire Form New Available
Form Driver Form 5 Weekly Phone Briefings Form New Available
Form Smart Phone App Smart Phone App Form and Instruction New Available
Form Smart Phone App Smart Phone App Form and Instruction New Available
Form Smart Phone App Smart Phone App Form and Instruction New Available
Form Smart Phone App Smart Phone App Form and Instruction New Repair queued
Form Smart Phone App Smart Phone App Form and Instruction New Available
Form Driver Form 4 Washington State Tax Invoice Voucher Form New Available
Form Driver Form 3 1099 Tax Form Form New Repair queued
Form Driver Form 2 Background Questionnaire Form New Available
Form Driver Form 1 Participating Driver Tasks Driver Application Form New Repair queued
Form Carrier Form 1 Online Carrier Application Form New Available
FlexibleSleeper_Information Collection Request_Response to OMB.docx Supplementary Document Uploaded 2018-06-13 Available
PRA2126_SleeperBerthPilot_SupportingStatementA_Revised_clean.docx Supporting Statement A Uploaded 2018-06-13 Available
Attachment R_60-day Notice_Pilot.pdf Supplementary Document Uploaded 2017-11-06 Available
Attachment Q_60-Day FRN_ICR.docx Supplementary Document Uploaded 2017-11-06 Available
Attachment P_Driver Information.docx Supplementary Document Uploaded 2017-11-06 Available
Attachment O_Initial Contact Form.docx Supplementary Document Uploaded 2017-11-06 Available
Attachment N_Debriefing Questionnaire.docx Supplementary Document Uploaded 2017-11-06 Available
Attachment M_Weekly Phone Briefing.docx Supplementary Document Uploaded 2017-11-06 Available
Attachment L_Washington State University Tax Invoice Voucher.doc Supplementary Document Uploaded 2017-11-06 Available
Attachment K_1099 Tax Form.doc Supplementary Document Uploaded 2017-11-06 Available
Attachment J_Background Questionnaire.docx Supplementary Document Uploaded 2017-11-06 Available
Attachment I_Online Carrier Application.docx Supplementary Document Uploaded 2017-11-06 Available
Attachment H_Driver Application.docx Supplementary Document Uploaded 2017-11-06 Available
Attachment G_Title 49 CFR 381.400.pdf Supplementary Document Uploaded 2017-11-06 Available
Attachment F_Title 49 Part 395.pdf Supplementary Document Uploaded 2017-11-06 Available
Attachment E_Title 49 CFR S 1.87.pdf Supplementary Document Uploaded 2017-11-06 Available
Attachment D_Title 49 USC 31502.pdf Supplementary Document Uploaded 2017-11-06 Available
Attachment C_Title 49 USC 31136.pdf Supplementary Document Uploaded 2017-11-06 Available
Attachment B_Title 49 USC 31133.pdf Supplementary Document Uploaded 2017-11-06 Available
Attachment A_Title 49 USC 504.pdf Supplementary Document Uploaded 2017-11-06 Available
BTS Approval of Flexible Sleeper Berth ICR.msg Supplementary Document Uploaded 2017-11-02 Available
PRA2126_SleeperBerthPilot_SupportingStatementB_Revised_clean.docx Supporting Statement B Uploaded 2018-06-13 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
228904 Debreifing Questionnaire Form NewDriver Debriefing Questionnaire
228902 Weekly Phone Briefings During Field Study Data Collection Form NewWeekly Phone Briefings
228901 Daily Field Study Data Collection: Caffeine Log Form and Instruction NewSmart Phone App
228900 Daily Field Study Collection: ELD Entry Form and Instruction NewSmart Phone App
228898 Daily Field Study Data Collection: Sleep Log Form and Instruction NewSmart Phone App
228897 Daily Field Study Collection: KSS Form and Instruction NewSmart Phone App
228896 Daily FIeld Study Data: PVT Form and Instruction NewSmart Phone App
228872 Participating Driver Tasks - Washington State Tax Invoice Voucher Form NewWashington State Tax Invoice Voucher
228871 Participating Driver Tasks - Form 1099 Form New1099 Tax Form
228870 Participanting Driver Tasks - Background questionnaire Form NewBackground Questionnaire
228869 Participating Driver Tasks - Online Application Form NewParticipating Driver Tasks Driver Application
228868 Carrier Tasks Form NewOnline Carrier Application

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2021 36 Months From Approved
291,415 0 0
7,845 0 0
238,557 0 0





Reginfo record details
12
table that charts list of burden
IC Title Form No. Form Name
Carrier Tasks Carrier Form 1
Daily FIeld Study Data: PVT Smart Phone App
Daily Field Study Collection: ELD Entry Smart Phone App
Daily Field Study Collection: KSS Smart Phone App
Daily Field Study Data Collection: Caffeine Log Smart Phone App
Daily Field Study Data Collection: Sleep Log Smart Phone App
Debreifing Questionnaire Driver Form 6
Participanting Driver Tasks - Background questionnaire Driver Form 2
Participating Driver Tasks - Form 1099 Driver Form 3
Participating Driver Tasks - Online Application Driver Form 1
Participating Driver Tasks - Washington State Tax Invoice Voucher Driver Form 4
Weekly Phone Briefings During Field Study Data Collection Driver Form 5

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 291,415 0 0 291,415 0 0
Annual Time Burden (Hours) 7,845 0 0 7,845 0 0
Annual Cost Burden (Dollars) 238,557 0 0 238,557 0 0


Reginfo record details
  No