Information Collection

Complaints

IC 209954 under ICR 201909-2140-001 · OMB 2140-0029.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2140-0029 can be found here:

Documents and Forms

Document Name Document Type
49 CFR 1111.pdf www.gpo.gov/fdsys/pkg/CFR-2011-title49-vol8/pdf/CFR-2011-title49-vol8-part1111.pdf Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Complaints	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 49 CFR 1111

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			49 CFR 1111.pdf	http://www.gpo.gov/fdsys/pkg/CFR-2011-title49-vol8/pdf/CFR-2011-title49-vol8-part1111.pdf	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title: No Individual Information	FR Citation: 84 FR 48872

Number of Respondents: 8	Number of Respondents for Small Entity: 1

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	8	3	5
Annual IC Time Burden (Hours)	2,876	541	2,335
Annual IC Cost Burden (Dollars)	8,968	1,658	7,310

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.