Information Collection

OPID Assignment Form

IC 200169 under ICR 201910-2137-005 · OMB 2137-0627.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2137-0627 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form PHMSA F 1000. OPID Assignment Form	Form and Instruction
Form PHMSA F 1000. OPID Assignment Request OpID Assignment Request Form and Instructions Clean - PHMSA F 1000.1 (rev 4-2019) 2019-10-01.pdf www.opsweb.phmsa.dot.gov.	Form and Instruction

IC Title:

OPID Assignment Form

Agency IC Tracking Number:

2137-0627

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 195.64 49 CFR 191.22

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	Form PHMSA F 1000.1	OPID Assignment Request	OpID Assignment Request Form and Instructions Clean - PHMSA F 1000.1 (rev 4-2019) 2019-10-01.pdf	www.opsweb.phmsa.dot.gov.	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 262

Number of Respondents for Small Entity: 14

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	262	28	234
Annual IC Time Burden (Hours)	262	28	234
Annual IC Cost Burden (Dollars)	0	0	0

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.