Information Collection

National TPM Implementation Review Survey Design and Questions

IC 227594 under ICR 202012-2125-001 · OMB 2125-0655.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2125-0655 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HIPN_RevisedNIRSurveyQuestionsandDesignReport_2020.docx	Other-Web Survey
HIPN_RevisedNIRSurveyQuestionsandDesignReport_2020.docx	Other-Web Survey

IC Title:

National TPM Implementation Review Survey Design and Questions

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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-Web Survey			HIPN_RevisedNIRSurveyQuestionsandDesignReport_2020.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 950

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	3,800	3,340	460
Annual IC Time Burden (Hours)	5,700	-4,420	10,120
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.