Information Collection

NHTS Questionare - Additional Member

IC 241993 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⚠️ Notice: This information collection may be referencing outdated material.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 11 2020 NHTS Questionnaire_05042020.docx	Other-Internet Questionaire

IC Title:

NHTS Questionare - Additional Member

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Other-Internet Questionaire			Appendix 11 2020 NHTS Questionnaire_05042020.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 11,250

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	11,250	11,250
Annual IC Time Burden (Hours)	2,625	2,625
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.