Information Collection

Waybill Sample

IC 180441 under ICR 201912-2140-004 · OMB 2140-0015.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2140-0015 can be found here:

Documents and Forms

Document Name Document Type
Waybill Sample Directions -- Statement 81-1.pdf www.stb.dot.gov Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Waybill Sample	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 1244

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Waybill Sample Directions -- Statement 81-1.pdf	www.stb.dot.gov	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 53	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 89 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	350	0	350
Annual IC Time Burden (Hours)	775	220	555
Annual IC Cost Burden (Dollars)	0	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.