Information Collection

Cognitive Interviews for the CFS & PHSMA

IC 241762 under ICR 201909-0607-002 · OMB 0607-0725.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0607-0725 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Cognitive Interviews for the CFS & PHSMA	Form and Instruction
1 PHMSA Data Collection Questionnaire Screenshots Attachment C_Screenshots Questionnaire Mock Up.docx	Form and Instruction
2 2017 Commodity Flow Survey Paper Questionnaire Attachment D_ Commodity Flow Survey.pdf	Form and Instruction
CFS_PHMSA OMB letter.docx OMB Memo	IC Document
Attachment A_CFS PHMSA Protocol.docx Protocol	IC Document
Attachment B_ Consent form with PRA content_21220.docx Consent Form	IC Document

IC Title:

Cognitive Interviews for the CFS & PHSMA

Agency IC Tracking Number:

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	1	PHMSA Data Collection Questionnaire Screenshots	Attachment C_Screenshots Questionnaire Mock Up.docx		No		Fillable Fileable
Form and Instruction	2	2017 Commodity Flow Survey Paper Questionnaire	Attachment D_ Commodity Flow Survey.pdf		No		Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

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	30	30
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OMB Memo	CFS_PHMSA OMB letter.docx	05/11/2020
Protocol	Attachment A_CFS PHMSA Protocol.docx	05/11/2020
Consent Form	Attachment B_ Consent form with PRA content_21220.docx	05/11/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.