Information Collection

IC-1: Moving Complaint

IC 230193 under ICR 202112-2126-003 · OMB 2126-0067.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2126-0067 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NCCDB Form No.1 IC-1: Moving Complaint	Form and Instruction
NCCDB Form No.1 NCCDB Moving Complaints Online Form NCCDB Consumer Complaint Entry Pages Jan 2022.docx nccdb.fmcsa.dot.gov/nccdb/home.aspx	Form and Instruction
NCCDB Form No.1 NCCDB Moving Complaints Online Form NCCDB Consumer Complaint Entry Pages Jan 2022.docx nccdb.fmcsa.dot.gov/nccdb/home.aspx	Form and Instruction

IC Title:

IC-1: Moving Complaint

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
Form and Instruction	NCCDB Form No.1	NCCDB Moving Complaints Online Form	NCCDB Consumer Complaint Entry Pages Jan 2022.docx	https://nccdb.fmcsa.dot.gov/nccdb/home.aspx	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title: Privacy Act of 1974: System of Records

FR Citation: 75 FR 27051

Number of Respondents: 6,663

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,663	-1,367	8,030
Annual IC Time Burden (Hours)	1,666	-342	2,008
Annual IC Cost Burden (Dollars)	0	-70,829	70,829

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.