Information Collection

Survey#2 Experiences with Discrimination

IC 237107 under ICR 201906-2130-003 · OMB 2130-0631.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2130-0631 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FRA F 6180.172 Survey#2 Experiences with Discrimination	Form
FRA F 6180.172 Survey#2 Experiences with Discrimination Form FRA F 6180.172.doc	Form

IC Title:

Survey#2 Experiences with Discrimination

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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	FRA F 6180.172	Survey#2 Experiences with Discrimination	Form FRA F 6180.172.doc		Yes	No	Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 35,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	2,750	2,750
Annual IC Time Burden (Hours)	688	688
Annual IC Cost Burden (Dollars)	39,634	39,634

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.