Information Collection

Online Recruitment Survey

IC 234198 under ICR 202310-2126-001 · OMB 2126-0069.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Online Recruitment Survey	Form and Instruction
1 Carrier Survey Phase I 2126-0069 Appendix B Carrier Survey Application.docx	Form and Instruction
1 Carrier Survey Phase I 2126-0069 Appendix B Carrier Survey Application.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: 49 CFR 396.3(a)

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	1	Carrier Survey Phase I	2126-0069 Appendix B Carrier Survey Application.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 578

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	578	578
Annual IC Time Burden (Hours)	48	48
Annual IC Cost Burden (Dollars)	0	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.