Information Collection

Waybill Sample

IC 180441 under ICR 202009-2140-001 · OMB 2140-0015.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2140-0015 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Statement 81-1 from Final Rule.pdf prod.stb.gov/wp-content/uploads/Waybill-Sample-Directions-Statement-81-exp-9-30-2020.pdf	Instruction

IC Title:

Waybill Sample

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 1244

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			Statement 81-1 from Final Rule.pdf	https://prod.stb.gov/wp-content/uploads/Waybill-Sample-Directions-Statement-81-exp-9-30-2020.pdf	Yes	Yes	Printable Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 53

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
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	350	0	350
Annual IC Time Burden (Hours)	861	306	555
Annual IC Cost Burden (Dollars)	0	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.