Information Collection

Equity Baseline Survey 2024

IC 255196 under ICR 202403-2125-005 · OMB 2125-0665.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Equity Baseline Survey_2024.docx	Other-Online Survey
Equity Baseline Survey_2024_FINAL_CLEAN.docx	Other-Online Survey

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Other-Online Survey			Equity Baseline Survey_2024_FINAL_CLEAN.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 472

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	472	15	457
Annual IC Time Burden (Hours)	472	15	457
Annual IC Cost Burden (Dollars)	0	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.