Information Collection

Part 565

IC 239297 under ICR 202001-2127-002 · OMB 2127-0510.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2127-0510 can be found here:

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Information Collection (IC) Details

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IC Title:	Part 565	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 565

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 644	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 70 %

	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	644	644
Annual IC Time Burden (Hours)	1,254	1,254
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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