Information Collection

Survey of LEL Supervisors

IC 233958 under ICR 201811-2127-004 · OMB 2127-0739.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NHTSA Form No. 140 Survey of LEL Supervisors	Form and Instruction
NHTSA Form No. 140 Survey of LEL Supervisors Appendix B - SHSO Supervisor Questionnaire .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:

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	NHTSA Form No. 1409	Survey of LEL Supervisors	Appendix B - SHSO Supervisor Questionnaire .docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 49

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	49	49
Annual IC Time Burden (Hours)	43	43
Annual IC Cost Burden (Dollars)	1,048	1,048

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.