Information Collection

Daily Field Study Data Collection: Sleep Log

IC 228898 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 Collection: Sleep Log	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 395 49 CFR 381.400 49 CFR 1.73

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	43,200	43,200
Annual IC Time Burden (Hours)	1,440	1,440
Annual IC Cost Burden (Dollars)	43,747	43,747

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.