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Debreifing Questionnaire
Flexible Sleeper Berth Pilot Program
OMB: 2126-0066
IC ID: 228904
OMB.report
DOT/FMCSA
OMB 2126-0066
ICR 201710-2126-003
IC 228904
( )
Documents and Forms
Document Name
Document Type
Form Driver Form 6
Debreifing Questionnaire
Form
Driver Form 6 Driver Debriefing Questionnaire
Sleeper Berth Pilot Program Debriefing Questionnaire.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Debreifing Questionnaire
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
Driver Form 6
Driver Debriefing Questionnaire
Sleeper Berth Pilot Program Debriefing Questionnaire.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
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:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
160
0
160
0
0
0
Annual IC Time Burden (Hours)
40
0
40
0
0
0
Annual IC Cost Burden (Dollars)
1,215
0
1,215
0
0
0
Documents for IC
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.
