Information Collection

Countermeasures At Work Interviews

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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	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 %

table that charts list of burden
	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

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.