Information Collection

Agency Needs Assessment Survey

IC 227594 under ICR 202403-2125-007 · OMB 2125-0655.

Documents and Forms

Document Name Document Type
Agency Needs Assessment Survey - 052824.docx Other-Survey

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Agency Needs Assessment Survey	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
Other-Survey			Agency Needs Assessment Survey - 052824.docx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 950	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,900	-1,900	3,800
Annual IC Time Burden (Hours)	2,850	-2,850	5,700
Annual IC Cost Burden (Dollars)	0	0	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.