Information Collection

Waiver Valuations by Federal, State and Local Public Agencies (LPAs)

IC 236807 under ICR 201907-2125-001 · OMB 2125-0662.

Documents and Forms

Document Name Document Type
LPA Waiver Valuation Survey version 3 .2 Response to OMB (2019-09-23RKO).docx Other-Web Questionaire

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Waiver Valuations by Federal, State and Local Public Agencies (LPAs)	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
Other-Web Questionaire			LPA Waiver Valuation Survey version 3 .2 Response to OMB (2019-09-23RKO).docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 18	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	18	18
Annual IC Time Burden (Hours)	72	72
Annual IC Cost Burden (Dollars)	0	0

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.