Information Collection

Complete Survey

IC 242219 under ICR 202006-2126-001 · OMB 2126-0070.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2126-0070 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 2 Complete Survey	Form
Form 2 Survey ICI4 _Test Survey.pdf www.surveygizmo.com/s3/5651769/FMCSA-Beyond-Compliance-Test-Survey	Form

IC Title:

Complete Survey

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
Form	Form 2	Survey	ICI4 _Test Survey.pdf	https://www.surveygizmo.com/s3/5651769/FMCSA-Beyond-Compliance-Test-Survey	Yes	Yes	Fillable Fileable Signable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 112

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to New Statute
Annual Number of Responses for this IC	112	112
Annual IC Time Burden (Hours)	75	75
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.