Information Collection

Cover Letter w/ Second Mailed Survey

IC 254117 under ICR 202206-2127-001 · OMB 2127-0684.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
05C_ENG_Cover letter_second mailed survey.docx	Instruction
05C_ENG_Cover letter_second mailed survey.docx	Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Instruction			05C_ENG_Cover letter_second mailed survey.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 16,424

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	16,424	16,424
Annual IC Time Burden (Hours)	274	274
Annual IC Cost Burden (Dollars)	7,417	7,417

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.