Information Collection

Daily FIeld Study Data: PVT

IC 228896 under ICR 201710-2126-003 · OMB 2126-0066.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Smart Phone App Daily FIeld Study Data: PVT	Form and Instruction
Smart Phone App Smart Phone App Attachment S - Sample SmartPhone Apps.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 49 CFR 381.400 49 CFR 1.73 49 CFR 395

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	Smart Phone App	Smart Phone App	Attachment S - Sample SmartPhone Apps.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 160

Number of Respondents for Small Entity: 25

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50,400	50,400
Annual IC Time Burden (Hours)	2,520	2,520
Annual IC Cost Burden (Dollars)	76,557	76,557

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.