Ride and Drive Surveys for PEV Showcases

Clean Cities Vehicle Programs

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1910-5171 can be found here:

Documents and Forms

Document Name Document Type
Ride and Drive Follow-up - 01092018.pdf Other-Questionnaire
Ride and Drive Post Drive - 01092018.pdf Other-Questionnaire
Ride and Drive Pre-Drive - 01092018.pdf Other-Questionnaire

Information Collection (IC) Details

IC Title:	Ride and Drive Surveys for PEV Showcases	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Questionnaire	Ride and Drive Follow-up - 01092018.pdf	Yes	Yes	Fillable Fileable
Other-Questionnaire	Ride and Drive Post Drive - 01092018.pdf	Yes	Yes	Fillable Fileable
Other-Questionnaire	Ride and Drive Pre-Drive - 01092018.pdf	Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 66 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	15,000	0	15,000
Annual IC Time Burden (Hours)	2,500	0	2,500
Annual IC Cost Burden (Dollars)	138,925	138,925	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.