Information Collection

State Department of Transportations (DOTs)

IC 209648 under ICR 202403-2125-009 · OMB 2125-0638.

Documents and Forms

Document Name Document Type
State DOT - Jasons Law Survey Update Template 2024_v1.xls Other-Online Survey Template
State DOT - Jasons Law Survey Update Template 2024_v1.xls Other-Online Survey Template

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	State Department of Transportations (DOTs)	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Online Survey Template			State DOT - Jasons Law Survey Update Template 2024_v1.xls		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 52	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	52	52
Annual IC Time Burden (Hours)	208	208
Annual IC Cost Burden (Dollars)	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.