Information Collection

Countermeasures At Work Interviews

IC 221741 under ICR 202206-2127-004 · OMB 2127-0727.

Documents and Forms

Document Name Document Type
Form 1344 Countermeasures At Work Interviews Form and Instruction
1344 Countermeasures At Work Interview Sheet Form 1344 - CMAW Interview Sheet April 2022.docx Form and Instruction
1344 Countermeasures At Work Interview Sheet Form 1344 - CMAW Interview Sheet April 2022.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Countermeasures At Work Interviews	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
Form and Instruction	1344	Countermeasures At Work Interview Sheet	Form 1344 - CMAW Interview Sheet April 2022.docx		No		Paper Only

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 20	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	20	-180	200
Annual IC Time Burden (Hours)	26	-274	300
Annual IC Cost Burden (Dollars)	1,067	1,067	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.