Information Collection

Identifying Points of Contact

IC 259202 under ICR 202303-2126-004 · OMB 2126-0079.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Survey Protocol 1 Identifying Points of Contact	Form and Instruction
Survey Protocol 1 Identifying Points of Contact ATTACHMENT E-DRAFT-CCFP-Survey Protocol-IC-1-14APR2023.docx	Form and Instruction
Survey Protocol 1 Identifying Points of Contact ATTACHMENT E-DRAFT-CCFP-Survey Protocol-IC-1-14APR2023.docx	Form and Instruction
ATTACHMENT J-Example Local Jurisidiction Contacts Spreadsheet (for IC-1).xlsx Attachment J - Example Local Jurisdiction Contacts Spreadsheet for IC-1	IC Document
ATTACHMENT J-Example Local Jurisidiction Contacts Spreadsheet (for IC-1).xlsx Attachment J - Example Local Jurisdiction Contacts Spreadsheet for IC-1	IC Document

IC Title:

Agency IC Tracking Number:

IC-1

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 49 CFR 1.87

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	Survey Protocol 1	Identifying Points of Contact	ATTACHMENT E-DRAFT-CCFP-Survey Protocol-IC-1-14APR2023.docx		Yes	Yes	Fillable Printable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 51

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
Annual Number of Responses for this IC	51	51
Annual IC Time Burden (Hours)	102	102
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Attachment J - Example Local Jurisdiction Contacts Spreadsheet for IC-1	ATTACHMENT J-Example Local Jurisidiction Contacts Spreadsheet (for IC-1).xlsx	04/19/2023

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