Information Collection

NHTS Questionare - Additional Member

IC 241993 under ICR 202103-2125-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Appendix 11 2020 NHTS Questionnaire_05042020.docx Other-Internet Questionaire
Appendix 11 2020 NHTS Questionnaire_05042020.docx Other-Internet Questionaire

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	NHTS Questionare - Additional Member	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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: 22,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	22,500	22,500
Annual IC Time Burden (Hours)	5,625	5,625
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.