OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Screener Form

IC 251504 under ICR 202202-2127-003 · OMB 2127-0757.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Screener Form
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1604 Screener Form Form 1604_Screener Form_Fatal Crash project 012522 (1).docx Yes Yes Fillable Fileable

Transportation Ground Transportation

 

4,170 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 4,170 0 4,170 0 0 0
Annual IC Time Burden (Hours) 70 0 70 0 0 0
Annual IC Cost Burden (Dollars) 2,094 0 2,094 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.