Information Collection

Study

IC 233940 under ICR 201811-2127-003 · OMB 2127-0742.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1463 Study	Form and Instruction
1463 Baseline Survey Form1463-BaselineSurvey.pdf	Form and Instruction
1465 Follow-up Survey Form1465-FollowUpSurvey.pdf	Form and Instruction
1464 Text Message Queries Form1464-TextMessageQueriesScreenshots.pdf	Form and Instruction

IC Title:

Study

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1463	Baseline Survey	Form1463-BaselineSurvey.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	1465	Follow-up Survey	Form1465-FollowUpSurvey.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	1464	Text Message Queries	Form1464-TextMessageQueriesScreenshots.pdf	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	9,500	9,500
Annual IC Cost Burden (Dollars)	0	0

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.