Information Collection

Complaints

IC 209954 under ICR 202604-2140-001 · OMB 2140-0029.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
49 CFR 1111.pdf www.gpo.gov/fdsys/pkg/CFR-2011-title49-vol8/pdf/CFR-2011-title49-vol8-part1111.pdf	Instruction

IC Title:

Complaints

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 49 CFR 1111

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
Instruction				http://www.gpo.gov/fdsys/pkg/CFR-2011-title49-vol8/pdf/CFR-2011-title49-vol8-part1111.pdf	Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Ground Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2

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
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2	-2	4
Annual IC Time Burden (Hours)	500	-1,376	1,876
Annual IC Cost Burden (Dollars)	3,008	-2,840	5,848

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.

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