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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.