OMB
.report
Search
Tribal Transportation Safety Data Survey Phone Survey
Tribal Transportation Safety Data Survey
OMB: 2125-0649
IC ID: 221255
OMB.report
DOT/FHWA
OMB 2125-0649
ICR 201604-2125-001
IC 221255
( )
Documents and Forms
Document Name
Document Type
STATE Survey.pdf
Other-Phone Script
TRIBE Survey.pdf
Other-Phone Script
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Tribal Transportation Safety Data Survey Phone Survey
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
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-Phone Script
STATE Survey.pdf
No
Paper Only
Other-Phone Script
TRIBE Survey.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Transportation
Subfunction:
Ground Transportation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
144
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
144
0
144
0
0
0
Annual IC Time Burden (Hours)
144
0
144
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
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.