Information Collection

Qualification

IC 233908 under ICR 201811-2127-002 · OMB 2127-0736.

Documents and Forms

Document Name Document Type
Form 1441 Qualification Form and Instruction
1441 Screening Procedures Form1441_ScreeningProcedures_v10_7_18_18.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Qualification	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	1441	Screening Procedures	Form1441_ScreeningProcedures_v10_7_18_18.doc		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 120	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	30	30
Annual IC Cost Burden (Dollars)	808	808

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.