Information Collection

Travel Retrieval Survey

IC 217744 under ICR 202005-2125-001 · OMB 2125-0545.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2125-0545 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix 15 Retrieval Survey_v3pdf.pdf	Instruction
Appendix 17 Web Retrieval Survey Examples.pdf	Other-Webpage

IC Title:

Travel Retrieval Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation:

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
Instruction			Appendix 15 Retrieval Survey_v3pdf.pdf		Yes	Yes	Printable Only
Other-Webpage			Appendix 17 Web Retrieval Survey Examples.pdf		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 21,667

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-21,667	21,667
Annual IC Time Burden (Hours)	-4,695	4,695
Annual IC Cost Burden (Dollars)	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.